Match the type of cardiomyopathy with the description of the underlying issue

A 72-year-old man presents to the clinic with progressive shortness of breath and chronic cough with white sputum for the past 2 years. He denies chest pain, fever, or recent infections, but reports occasional wheezing and fatigue. His PMH includes hypertension and former smoker (45-pack-year history, quit 5 years ago). He takes lisinopril 10 mg daily and albuterol 1 puff PRN daily. Physical Exam:• Vitals: BP 130/80 mmHg, HR 84 bpm, RR 20/min, SpO₂ 93% on room air• Lungs: Decreased breath sounds, prolonged expiratory phase, scattered wheezing, mild pursed-lip breathing, decreased chest wall expansion and a barrel chest appearance.• Cardiovascular: No murmurs, no peripheral edemaSpirometry Results (Post-Bronchodilator Test):• FEV₁/FVC Ratio: 0.65• FEV₁: 65% of predicted• Improvement with bronchodilator: Minimal (

A 79 y/o Male diabetic patient presents for his annual visit. He has no complaints and v/s WNL. The nurse practitioner performs a diabetic foot assessment. She notes increased warmth, swelling, and size of the medial aspect of the first metatarsal head compared to the other foot. The patient also indicated he had some tingling when the foot was inspected. Which condition should be suspected?

A 26-year-old woman with persistent asthma presents to urgent care with shortness of breath, wheezing, and chest tightness for the past 2 days. She has not been able to sleep and have been using her inhaler every 4 hours to minimal effect. Her current medications include Albuterol (PRN) and Fluticasone (low-dose ICS). Her v/s are BP: 110/70, P: 110, RR: 24/min, SpO₂: 92% on room air. On physical exam, the nurse practitioner observes accessory muscle use and auscultates diffuse expiratory wheezing. Using GINA guidelines, what is the best initial management?

A 68-year-old postmenopausal woman presents with urinary leakage that occurs when she coughs or laughs. She denies dysuria, nocturia, or urgency. She denies any medical history, but did relay she had 4 vaginal deliveries. On vaginal exam, the nurse practitioner notes  pelvic organ prolapse grade 1and positive bladder stress test. What is the most appropriate first-line treatment?

A 14 y/o adolescent male patient with type 1 diabetes mellitus returns for a follow-up visit. He reports following the prescribed insulin regimen but he continues to have elevated HbA1c levels of 8.7%. The nurse practitioner reviews the blood glucose logs showing consistent readings above 200 mg/dL before meals. What should the nurse practitioner do to modify the treatment plan?

A 22-year-old sexually active woman presents to the clinic for a well-woman exam. She does not use condoms consistently and has had two new partners in the past year. She has no new complaints, regular menstrual cycles every month, and unremarkable past medical history. On vaginal exam, the nurse practitioner notes no abnormal vaginal discharge or cervical motion tenderness. Based on CDC STI screening guidelines, what is the most appropriate next step in this patient’s care?

A 75-year-old male presents with intermittent pain and paresthesias in his right foot, which worsens with walking and is relieved by rest. On physical examination, his right foot appears pale, with a capillary refill time of 4 seconds and a diminished (+1) dorsalis pedis pulse. The left foot is warm, intact, with a capillary refill of 2 seconds and a normal (+2) pulse. Based on these findings, what is the most likely underlying condition?

A 50-year-old patient has an LDL cholesterol of 160 mg/dL (optimal 100-129 mg/dL) with no cardiovascular risk factors. What is the most appropriate initial management?

A 68-year-old female presents to the clinic with fever (100.5°F), chills, a productive cough, and fatigue for the past three days. She denies confusion, nausea, or vomiting. She has been able to eat and drink normally. Her medical history includes hypertension (HTN) and hyperlipidemia (HLD). She is otherwise well and able to ambulate independently.Her vital signs are:• Blood Pressure: 118/72 mmHg• Heart Rate: 88 bpm• Respiratory Rate: 22 breaths per minute• Temperature: 100.5°F• Oxygen Saturation: 95% on room airLaboratory Findings:• White Blood Cell Count (WBC): 12,500/mm³• Blood Urea Nitrogen (BUN): 18 mg/dLBased on the CURB-65 criteria and the above information, which of the following factors contributes to the patient’s score?