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?

A patient complains of decrease in hearing in the left ear. The NP recognizes all the following are considered conductive hearing losses except:

Chadwick’s sign is characterized by:

A 44-year-old male presents to the NP for a three-day history of fever with a productive cough. On physical exam, the NP identifies dullness to percussion, increased tactile fremitus, and bronchial breath sounds over the right lower posterior chest. Which of the following is the most likely diagnosis?

A 20-year-old female presents with a “bump” on her left eyelid. Examination reveals a 2 mm hard nontender swelling on the lateral border of the eyelid margin.The most probable diagnosis is:

A 22-year-old female, G0, presents to the NP for a positive home pregnancy test. The patient is most likely at 6 weeks gestation based on the LMP. During transvaginal ultrasound, the NP confirms a fetal heartbeat. The NP reviews the patient’s medical history and notes a negative history, no medications, and a nonsmoker. What is the recommended frequency for follow-up prenatal visits until 28 weeks’ gestation?

Which symptoms are most indicative of infectious mononucleosis?

A NP working in the student health clinic has a patient who is 19 weeks gestation. The patient is a nursing student who needs vaccines for school. The patient requests an influenza and MMR vaccine. The NP responds:

An 18-year-old female presents to the emergency department with lower abdominal pain and vaginal spotting. Her LMP was 2 months ago. The urine pregnancy test is positive.The NP understands the next best step to confirm a diagnosis is: