Eileen is a 73-year-old who presents with complaints of cough, SOB, wheezing and congestion for the last 2 days.  She has had fever up to 101, denies nausea or vomiting.  Reports has not had COVID-19 and has not had a COVID vaccine or flu vaccine.    PMH:  MI with stents 6 years ago, hypertension, hyperlipidemia, diabetes.  Routine medications include metoprolol, lisinopril, metformin, rosuvastatin, vitamin C, D, zinc.  Her son was diagnosed as having COVID the day after they were all together for the Thanksgiving holiday.  What is your best plan of care for Eileen? 

John is a 63-year-old who presents to clinic for follow up of his hypertension, diabetes, and dyslipidemia.  As part of his physical exam, you note that he has brawny edema and hemoseidrin staining to his lower legs. His legs hurt after standing.  Your top differential diagnosis is:

Prompt diagnosis of temporal arteritis is important because:

Which patients have risk enhancing factors as defined in the ACC 2018 Guideline on the Management of Blood Cholesterol; these are factors that favor initiating statin therapy.  Select all that apply.    

What is the genetic factor that leads to premature COPD?

Anna is a 23-year-old who presents to your practice with a 48 hour history of a very sore throat with a fever as high as 102.3 degrees, fatigue, and myalgias.  Her exam reveals a beefy red pharynx with white exudate, prominent anterior and posterior cervical nodes and mild bilateral upper abdominal tenderness without organomegaly.  Your most likely diagnosis is:

Which statement indicates that the patient may be experiencing a heart failure exacerbation?

Which treatment modality is most appropriate for a patient with fibromyalgia?

Unless contraindicated, first line pharmacological therapy for a patient with HFrEF should include which medication?

Hannah is a 24-year-old with complaints of dysuria. She is afebrile and non-toxic in appearance. You diagnose her with cystitis/UTI (she’s never had one before). She is sexually active, consistent condom use with a stable monogamous partner for the last 3 years. She is  on Sprintec 28 day cycle birth control pill.  She is allergic to sulfa (rash).  PMH: No chronic health conditions, no major surgeries.  What is your best plan of care?  Select all that apply: