30. You examine a 38-year-old woman who has presented for an initial examination and Pap smear. She has no complaints. Her blood pressure is 154/98 mm Hg bilaterally and her body mass index is 31 kg/m2. The rest of her physical examination is unremarkable. Your next best action is to:

23. Tim, age 59,  presents with sore throat, tonsillar exudates, fever and cervical adenopathy. There is no cough. There is a high probability of which causative agent:

63. A 78-year-old woman has hypertension, a 100 pack-year history of cigarette smoking, peripheral vascular disease, and a reduced renal function (GFR =47 mL/min/1.73m2). Triglyceride level is 280 mg/dL. (3.164 mmol/L); high density lipoprotein (HDL) is 48 mg/dL (1mmol/L); and low-density lipoprotein (LDL) level is 135 mg/dL (3.5 mmol/L). Which of the following represents the most appropriate pharmacologic intervention for this patient’s lipid disorders?

36. From the following list, the most helpful test in suspected bacterial endocarditis includes

50. Risk factors for acute otitis media (AOM) include all of the following except:

22. Laura, age 68 years, complains of sudden onset of impaired vision, severe eye pain, vomiting and a headache. You diagnose the following condition and refer for urgent treatment:

39. Heart failure pathophysiology is characterized by:

74. Cough, loss of taste, and rash are adverse effects associated with which class of antihypertensive agents?

20. In patients with chronic stable angina with normal left ventricular function, which drug class is recommended as first-line treatment?

65. A patient is diagnosed with atrial fibrillation, and her CHA2DS2-VASc score is 0. What is the most reasonable course of therapy?