A breastfeeding patient who is 3 weeks postpartum presents with unilateral breast pain, redness with red streaking, fever (101.4°F), and flu-like symptoms. She reports worsening pain during feeds and localized tenderness. Which diagnosis is most likely?

A 29-year-old has chronic pelvic pain for 2 years. She reports alternating constipation and diarrhea, bloating, and pain that improves after defecation. She also endorses dyspareunia and dysmenorrhea. Which statement best reflects clinical reasoning for her evaluation?

Which patient scenario most requires referral for specialized abortion services?

Which laboratory test is most appropriate to screen for nonalcoholic fatty liver disease (NAFLD) in a child with obesity?

A 34-year-old G2P2 presents for routine well-woman care. She is asymptomatic and immunocompetent. Her screening history includes a negative Pap with negative high-risk HPV testing 3 years ago. At today’s visit, primary HPV screening is positive, with reflex cytology showing negative for intraepithelial lesion or malignancy (NILM). HPV genotyping is negative for types 16 and 18. How should the NP counsel this patient regarding her HPV result?

A 15-year-old presents for a routine preventive health visit. The provider is reviewing age-appropriate laboratory screening recommendations based on USPSTF guidance. Which preventive laboratory screening is broadly recommended for this age group?

A 54-year-old woman reports vaginal dryness, dyspareunia, and recurrent urinary tract infections related to menopause. She denies hot flashes or pelvic surgery. What is the most appropriate first-line treatment?

A 15-year-old collapses during basketball practice after chest tightness. He reports no prodrome. What differential diagnosis would be most concerning?

Which statement regarding HPV vaccination in adolescents is correct?

Pretérito e imperfecto. Escoge la forma apropiada según el contexto. [verbo1] a mi mejor amigo en 1980. Cuando [verbo2] pequeña me [verbo3] ir a patinar. Anoche no [verbo4] dormir en casa porque no [verbo5] las llaves.  [verbo6] diecisiete años cuando [verbo7] mis estudios en la universidad. Ana y Juan se [verbo8]  mucho y por eso se [verbo9]. Mi abuelo [verbo10] en Florida cuando [verbo11]. Ayer [verbo12] dos pies de nieve y por eso no [verbo13] al colegio. Ernesto no [verbo14] a clase ayer porque [verbo15] enfermo. Solo [verbo16] de la catástrofe cuando [verbo17] las noticias (news) esta mañana. ¿Te gusta mi vestido nuevo? Me [verbo18] muy barato.