Mr. Ralston is being seen for progressive dyspnea and cough.  He does have some clear mucous production and you notice he is thin and has a barrel chest. He said he used to take an inhaler but has been out for some time and has been using his grandson’s albuterol prn but it doesn’t really help.  On exam, he is breathing with pursed lips and has fine crackles with auscultation. You perform PFTs in the office and he has:Normal FVC (forced vital capacity)Increased Residual VolumeNormal TLC (Total Lung Capacity)Decreased FEC1/FVC ratioWhat diagnosis do you suspect?

You are seeing Mr. Green, a 67 year old male, for the first time. He has had Type 2 diabetes for the past 16 years.  Although he has been on insulin for 2 years, he does not maintain optimal control, as his A1C remains 8-9 most of the time.  You see on his chart was prescribed an ACE inhibitor 2 year ago, after being found to have microalbuminuria.  This was likely done as Mr. G is at risk for:

Patient education for a 29 y/o female with a new diagnosis of irritable bowel syndrome would include the following:

Mimi, age 52, watched a CNN and there was a news story reporting controversies regarding what age women should have routine screening mammograms. You respond:

You want to slow the progression of a CKD in one of your patients, according to the NIDDK, which of the following are recommended?

Mr Bill has diabetes with new onset peripheral neuropathy. You are concerned that he could have chronic kidney disease related to his diabetes. Which of the following lab finding supports this diagnosis?

All of the following medications are recommended for the treatment of major depressive disorder (MDD) EXCEPT:

Which of the following are necessary for a diagnosis of depression?

Which of the following is FALSE regarding gout?

Which of the following are true regarding maintaining an A1C at 7% or lower?