You are performing a pap smear in a 21 y/o sexually active f…

You are performing a pap smear in a 21 y/o sexually active female. She utilizes condoms inconsistently. She is unsure of her LMP. She is complaining of pelvic pain and her cervix is easily friable (bleeding) during your exam. What would you include in her plan of care for today? 

CT is a healthy 36 y/o female presenting today for her annua…

CT is a healthy 36 y/o female presenting today for her annual well woman exam. She is married and in a monogamous relationship with her husband. She expresses concern as they have been actively trying to conceive for the past year unsuccessfully. Which of the following is most appropriate to include in her plan of care today? 

A client presents today for an examination with complaints o…

A client presents today for an examination with complaints of abnormal vaginal discharge that is thick and white with pruritis. She recently took antibiotics for a sinus infection. She is monogamous with a male partner who has been away for 2 months. You obtain a wet mount which demonstrates a pH of 4.0, few WBCs, and pseudohyphae/long branched chains with budding cells. Which of the following is the most appropriate treatment for her? 

CT is a healthy 28 y/o female presenting today for her annua…

CT is a healthy 28 y/o female presenting today for her annual well woman exam. She is married and in a monogamous relationship with her husband. She expresses concern as they have been actively trying to conceive for the past 6 months unsuccessfully. Which of the following is most appropriate to include in her plan of care today? 

A 22 y/o female presents with a complaint of increased vagin…

A 22 y/o female presents with a complaint of increased vaginal discharge with an unpleasant “fishy” odor. She denies vaginal itching and urinary symptoms. On examination, a grayish white discharge is noted at the introitus and adhering to the vaginal walls. There is no erythema. Clue cells are seen on wet mount. What is your diagnosis and recommended treatment for this client?

You are seeing a 12 year old girl who has mild persistent as…

You are seeing a 12 year old girl who has mild persistent asthma and allergic rhinitis.  Her mother is concerned that she has missed too much school due to her asthma. She uses her albuterol inhaler 1-2 times daily in the winter for cough and has no audible wheezes or increased work of breathing during the visit. She is also using Zyrtec in the morning.  Using the step up approach, what other medications would be most beneficial for this child?