Jonathan is a 23 year old male, who comes to your clinic today with complaints of a sore throat. He complains of difficulty swallowing and has some mouth pain. On examination, you note that his mouth, tongue, and pharynx are covered with a white curdlike plaque that is very difficult to remove and it has a red surface in areas that it has been removed. What action would you recommend at this time?

A mother brings her 17 year-old son to the clinic because she is concerned over some of his behavior for the past 6 months. She reports that he is acting more secretive and talks about a new friend that only he can see. While the mother is talking, her son is staring off into the distance and has disorganized speech. nurse practitioner considers that he may be suffering from:

John comes to the clinic today with a cutaneous lesion that began as vesicles and evolved into papules on his arms. The lesions are linear in nature about 3 to 5 mm long. You suspect:

Mr. James, A 65 year old Caucasian male presents to your office for follow-up on hypertension. You know that his wife died 3 years ago. He states “I’m just so tired…sometimes I think of just ending it all…I miss my wife so much!”. After determining that Mr. Jones does not have a specific plan, you determine that he meets the diagnostic criteria for major depression. What would be your next management steps?

A patient comes to your office with a history of 2 days of fever of 103.4 and a macular-papular rash that began today on her face. You suspect that she has measles. What is the name of the oral lesions on her buccal mucosa?

The U.S. Preventive Services Task Force (USPSTF) recommends screening children and adolescents 12 to 18 years of age for major depressive disorders. Which of the following screening tools would you use to screen the children?

For an adult with Lyme disease, the treatment of choice for erythema migrans (EM) rashes, myalgias, and arthralgias is:

A FNP is treating a patient for anxiety. The patient’s symptoms appear to worsen even with treatment and titrating medications, The most prudent action for the FNP is to:

Glucose 6 phosphate dehydrogenase deficiency can result in:

A 30 year old male presents with complaints of fever, cough, mild anorexia, and myalgia.His past medical history is not remarkable.On physical exam, the nurse practitioner notes a reddened area on his arm (bull’s eye lesion). What is the probable diagnosis?