A 27-year-old pregnant woman is Rh(D) negative. Her fetus is Rh(D) positive. Which of the following is the primary mechanism by which hemolytic disease of the fetus occurs?

A 4-year-old is brought to the clinic today by his mother who reports he has been listless with a fever of 102F and a cough for the past 48 hours. Prior to these more acute symptoms, he has had symptoms cold for the previous week. Which of the following symptoms are most consistent with the diagnosis of pneumonia?

A 2-year-old presents to clinic with a cough. Currently in your clinic, the patient is afebrile, sitting quietly, slightly dyspneic, and has a runny nose with congestion. Lungs are clear and the patient has bark-like cough in the office. Which is the most appropriate order for the child?

A 26-year-old pregnant female at 17 weeks gestation has an abnormal quad screen. When sharing the results with the patient, you consider that:

A patient has a suspected pneumonia and the NP uses the CURB-65. Which of the purpose of CURB-65?

An adult patient presents to you with severe nasal congestion.He has been self-medicating for rhinitis with over-the-counter Afrin for the last 10 days. He initially felt better, but he reports he cannot breathe through his nostrils without the Afrin. He is afebrile and does not have a headache. What is your top differential?

The preferred method for lung cancer screening for patients aged 50-80 with a 20 pack-year smoking history is:

A 6-month-old presents to the office with a history of 5 days of rhinorrhea, nasal congestion, cough, low grade fever, expiratory wheeze, and increased respiratory rate. The most likely diagnosis is:

The NP evaluates a 5-year-old with reports of hearing loss in the left ear. He prescribed amoxicillin last week for acute otitis media. His mother is asking for the NP for a different antibiotic as “he still has an infection.” On examination, the NP notes bubbles behind a pale and retracted tympanic membrane. The NP recommends all the following except:

A 17-year-old female presents with fever, adenopathy, and a sore throat. The NP recognizes which of the following as a test for diagnosis of streptococcal pharyngitis in the clinic?