A 6 month old infant, presents to your office with a 3 day history of fever, thick nasal congestion, cough and not breastfeeding well. Upon exam you note she has labored, noisey breathing and intercoastal retractions.  Mom mentions her older sister attends daycare and has a cold.  What is the primary causative organism of Shelby’s symptoms?

A diagnosis of pregnancy may be made with which of the following tests

When discussing contraception at a 2 week postpartum visit with a mother who is hoping to exclusively breastfeed and wants to start birth control now, which method would the NP advise her to consider? 

Which of the following would be considered risk factors for Diabetes Type 2 in a 16 year old female?

You are seeing a 40 year old woman for an annual exam. She had pap smear showing normal cytology with negative HPV cotesting 2 years ago. She has never had an abnormal pap in the past. She has a new sexual partner. She complains of dysuria and vaginal discharge. What are your priorities for this visit? 

A new patient presents today for contraceptive counseling. She is 31 years old and would like to consider trying to conceive in the next year. Which of the following forms of birth control would NOT be appropriate as a first line option for her to consider?

Which of following findings would support the diagnosis that 10 year old Beth has asthma and requires a step up in her treatment managment? She is presently taking albuterol as needed for shortness of breath with good effect.

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?

Depo-Provera risks include all of the following EXCEPT: 

Which of the following pap results would prompt you to consider referrals for both a colposcopy AND an endometrial biopsy?