What is the gold standard test you would order to confirm the diagnosis of COPD in this patient?

When performing a physical exam on a pediatric patient you note an extra heart sound. Which heart sound can be considered a normal variation in children?

Match the following symptoms with mania versus depression 

 A patient presents with known osteoarthritis and has been taking NSAIDs. There is a strong suspicion for peptic ulcer disease. What is the most effective initial step in treating this patient’s peptic ulcer disease?

A pediatric patient has a Body Mass Index (BMI) in the 90th percentile for their age and gender. What is the appropriate characterization for this and what should you advise the parents?

What diagnostic tests would you consider for your top differential? 

In the treatment of sarcoidosis, what is the focus of the primary care provider?

In an adult patient with asthma that is not well controlled what would you typically find on physical exam?

What is a common cause of Pleural Effusion?  

Hyperopia and myopia also know respectively as: