The first symptom seen in the majority of clients with Parkinson’s disease is:

Which of the following is true regarding COPD?

*Le Nguyn is a 70 y/o  patient of yours. He was born in Viet Nam but has been here in the United States for over 40 years. When reviewing his family history, he tells you that his father had benign prostatic hypertrophy.  You know from your exam that his testes are intact.  The report from the urologist states that he has functioning Leydig cells.  Which of the following risk factors are NOT a concern for Mr. Nguyn

**Curtis is a 70 y/o male who presents to the clinic with vague symtpoms—fatigue, weight loss over the last 6 months, intermittent fevers, and night sweats.  You are concerned for a leukemia, specifically Chronic Lymphocytic Leukemia (CLL).  You decide to do a workup including lab work.  Which of the following findings is NOT indicative of CLL?

The NP has diagnosed his patient with irritable bowel syndrome. His treatment and teaching plan might include all of the following except:

You are counseling a 65 y/o female on age appropriate cancer screenings.  She has been a smoker for over 30 years.  She denies any cough, shortness of breath or hemoptysis.  Which of the following screenings would be used for lung cancer?

**Acne, Obesity and Male pattern alopecia are all clinical findings with Cushing’s Syndrome (True or False)

**  Which of the following clinical findings is commonly associated with menopause? 

Joan is a 65 year-old woman who is completing a course of Augmentin (amoxil/clavulonic acid) for a resolving sinusitis,  reports to the primary care clinic for annual labs, the provider reports that there is blood in her urine on the urinalysis. She denies any dysuria, fever,  or rectal pain? What is the potential cause?

A 28-year-old female presents to the clinic with a 6-month history of involuntary weight loss, recurrent abdominal cramping, right lower quadrant pain, loose stools, anal fissure, anorexia, fever, and fatigue, which of the following diagnoses would be at the top of your differential list?