A 38-year-old woman presents to her primary care provider with sudden onset of severe epigastric pain radiating to her back, accompanied by nausea and vomiting. She has a history of gallstones and reports drinking alcohol occasionally. On examination, she is tachycardic and mildly febrile. Laboratory tests reveal elevated serum amylase and lipase levels. The provider suspects acute pancreatitis. Which is the most appropriate action for the management of the patient in the primary care setting?

The most common cause of bacterial conjunctivitis in adults is :

You are educating a patient recently diagnosed with asthma about strategies to prevent exacerbations. Which of the following should be included in the patient education? select all that apply 

Daniel, a 35  year old man, presents with nasal congestion, sneezing and a sore throat that began three days ago. He denies fever, facial pain or purulent nasal discharge. He is otherwise healthy and reports close contact with several similarly sick contacts. Which of the following is NOT recommended as treatment for this patient?

Which of the following asymptomatic individuals would be screened for diabetes? Select all that apply 

A 68-year-old retired farmer presents for a routine skin check. He reports spending most of his life working outdoors without consistent use of sunscreen. On examination, you note multiple lesions on his face, forearms, and the back of his hands. Some lesions are rough, scaly patches, while others appear as thickened, pearly papules. What is the most likely diagnosis based on this presentation? 

Which of the following is a benign cervical finding:

A major side effect of Fluoroquinolones therapy is tendon rupture (particularly achilles) which is more likely in the elderly.

The NP is assessing a 45 year old woman for metabolic syndrome. Which of the following parameters is indicative of this syndrome?

A 30-year-old patient presents with a feeling of fullness in the left ear and mild hearing loss that has persisted for two weeks following an upper respiratory infection. The patient denies pain or fever. Otoscopic examination reveals a dull, retracted tympanic membrane with visible fluid behind it.  What is the expected result of the Rinne test in this patient with serous otitis media of the left ear?