The NP orders an abdominal ultrasound to investigate abdominal pain in a 55-year-old patient. During the ultrasound, the patient takes an inspiratory pause when the sonographer presses directly over the right upper quadrant area. The NP recognizes this as a positive:

A Which of the following clinical scenarios would warrant the use of daily prescribed Budesonide/Formoterol (Symbicort) alone to effectively treat a patient’s asthma?

Which of the following lowers the price of a country’s exports on world markets and increases the price of its imports?

An 11-month-old and is brought into the clinic for a rash. The patient’s mother reports her child is irritable and is up at night scratching. The NP notes several erythematous papules and vesicles on the soles of the feet, ankles, wrists, and thumb-first finger web space. There is no associated fever. The child was enrolled at a new daycare 1 month ago. The mother has tried topical hydrocortisone without relief. The NP prescribes:

Investor confidence in the value of a currency plays an has no role in determining its exchange rate.

A 17-year-old female has acne vulgaris. The NP notes closed comedones on the forehead and cheeks. Which of the following is a first-line management approach for mild acne?

 As part of asthma education for an adult asthmatic patient, the NP develops an asthma action plan. All the following peak flow meter readings indicate the need for the patient take additional actions, except:

An adult patient presents with a lesion on the forearm. The NP notes a thin pink colored papule with overlying scale. The NP notes several freckles in the same area. The NP recognizes the lesion’s characteristics as:

A 25-year-old male presents with a rash that appeared several days ago. He reports pruritis that has worsened since the first rash appeared. The rash started as a quarter sized oval lesion on his lower abdomen and the rash progressed over the next few days to the chest and back. The lesions on his trunk are pink oval papules and plaques with fine scales.  He reports that he is usually healthy although he did have a cold several weeks ago. What is the most likely diagnosis? 

A 40-year-old female patient presents to the clinic with complaints of intermittent burning and gnawing upper abdominal pain worse over the last 2 weeks. She reports frequent belching throughout the day that is causing her to feel distressed. The pain improves when she eats and tends to be worse at night.  The physical exam is normal except for mild to moderate epigastric pain upon palpation. Which of the following diagnostic tests would be appropriate to start the workup based on the presenting symptoms?