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: 

Shauna is a 29-year-old woman who is a new patient to your practice. She gives a history of asthma and requests a refill of her albuterol inhaler. Currently she has symptoms about twice per month and uses about 1 albuterol inhaler every 2 months. She tells you that she does not want to have to take a daily inhaler. Your plan should include:  (Select all answers that apply)

What are the main pathophysiology concept(s) of type 2 diabetes?  Select all that apply. 

Which of the following statements is a valid conclusion of the experiment described in the figure?

Maggie presents with a several week history of congestion and runny nose “that drips like a faucet”.  She denies fever, chills, body aches or other systemic symptoms.  Exam reveals pale boggy nasal turbinates’, clear post nasal drip.  Remainder of exam is within normal limits.  What is your best plan of care? Select all that apply 

Kyle is a 46-year-old man who presents with complaints of inability to smile on the right side of his face.  The symptoms first began this morning and now he is unable to smile on the right side of his face.  He thinks he may have been bit by a bug or “something” that has caused his problem.  He also complains of being lightheaded and “out of kilter”.   Exam reveals inability to lift right side of mouth to smile, able to raise both eyebrows, otherwise exam of cranial nerves is within normal limits.  PMH:  Hypertension, Type II DM, Hyperlipidemia.  He is a 1 ppd smoker, drives a truck, and consumes approximately a 6 pack of beer nightly.  You are concerned that Kyle has: