An elderly male presents to your clinic with complaints of an erythematous scaly 1.5 cm macular lesion on the left forearm that is not pruritic (see photo). Upon further questioning he reveals the lesions have been there for some time and he only came to the clinic because his children are afraid he has skin cancer. You suspect which condition and treatment option?

You are seeing Tyler, a 4-month-old for a well-check. His mother asks about over-the-counter pain relief that he can have if he is uncomfortable or runs a low grade temperature tonight after his vaccines. Your tell her that the appropriate antipyretic drug and dosage for a 4-month-old is:

An obese woman presents to the clinic with complaints of tenderness and irritation under both of her breasts. The exam reveals a very irritated, moist, inflamed area with macules and papules present. There is an area of central redness under each breast with redness extending outward (see photo). What is the best treatment for this woman?

A child will be able to do which of the following fine motor skills first?

Immunizations offered routinely to patients 65 years of age and older are:

The father of Justin, a 6-month old boy, cut his first tooth this month. His dad asks about when Justin will have all his baby teeth. The Nurse Practitioner’s best response is that by age _______ months, all primary (deciduous) teeth should be present.

You are seeing a child who is able to hop on one foot, draw a person with 2 body parts, has a vocabulary of 300-500 words, is potty trained during the day, and can also recite a few short nursery rhymes from memory. This child is:

Peter is a 13-year-old who is at the urgent care clinic this evening for a rash that came on “suddenly.” He states that he was outside earlier today with his friends after school hiking at the state park for a few hours after school. After coming into contact with grasses, plants, and trees, he developed an itchy circular rash over his arms, legs, and back. He describes a sudden generalized eruption with severe itching. He denies any other symptoms. His vital signs are normal. Upon physical examination you note the following rash (see photo below). What should be included in your treatment plan as first line therapy?

Mark is a 46-year-old male with a past medical history of hypertension and hypercholesterolemia. He presents to the primary care clinic with a recurring rash that has lasted “several years.” He states that the rash consists of lesions that are scaly and silvery in color. He describes that if he tries to remove a scale over the rash, he notices bleeding. The skin lesions occur on his elbows, knees, and gluteal cleft frequently and come and go over several months with no apparent trigger. He denies fever, chills, nausea, or sweating. Mark’s temperature today is 98.4 F, Pulse rate= 84, Resp rate= 16, and B/P today is 134/84. Physical exam reveals a silver, scaly plaque that is over his elbows and knees. What is the treatment for his rash?

The parents of a 12-year-old with Cerebral Palsy (CP) are advised to begin swim therapy for the child. The FNP recommends this therapy knowing it is an example of: