A 42-year-old man presents to the clinic with complaints of intermittent epigastric pain, bloating, and nausea that have been worsening over the past few months. He reports that the pain tends to improve after eating but returns a few hours later. He has a history of NSAID use for chronic back pain. The PCP orders a urea breath test, which returns positive. Laboratory tests show the following results: Hemoglobin: 13.5 g/dL (normal: 13.0-17.0 g/dL) Hematocrit: 40% (normal: 38-50%)   Platelets: 250,000/mm³ (normal: 150,000-450,000/mm³)   Serum creatinine: 1.0 mg/dL (normal: 0.6-1.2 mg/dL)   H. pylori IgG antibody: Positive Based on this presentation and laboratory findings, what is the most appropriate next step in management for this patient?

A 45-year-old woman presents to the clinic with complaints of progressive hearing loss in her right ear over the past six months. She also reports experiencing occasional dizziness and a persistent ringing in her right. An examination, the provider notes abnormal ear exam but suspects an issue with the inner ear. An MRI is ordered and the results reveal a mass on the right vestibulocochlear nerve. What is the most likely diagnosis for this patient based on her symptoms and MRI results?

A patient with a history of migraine develops new onset “worst headache of life that feels like a thunderclap.” What is the next step?  

A patient presents with postprandial bloating, fatty stools, and unintentional weight loss. Labs reveal low vitamin D and iron. What is the likely diagnosis?  

A 10-year-old boy is brought to the pediatric clinic by his mother, who reports that he has developed redness in his right eye over the past three days. She notes that he has a yellowish-green discharge, which causes his eyelids to stick together, especially in the morning. He has no fever and is otherwise healthy. The mother is concerned about the possibility of an eye infection. What is the most likely diagnosis for this child, and what is the first line treatment?

a 62-year-old woman presents to the clinic with complaints of brief episodes of dizziness and a sensation of spinning that occurs when she turns her head or gets out of bed. She notes that these episodes last for about 30 seconds and are accompanied by nausea but not by any hearing loss. The NP suspects benign paroxysmal positional vertical (BPPV) and decides to perform a clinical test to confirm the diagnosis. Which of the following tests is most used to diagnose BPPV?

A 48-year-old woman presents to her primary care provider with complaints of persistent ringing in her ears (tinnitus) for the past six months. She reports that the tinnitus is more noticeable in quiet environments and sometimes interferes with her ability to concentrate. The provider takes a detailed history and conducts a physical examination to identify potential causes of her tinnitus. Which of the following is not a recognized cause of tinnitus in this patient?

a 62-year-old woman presents to the clinic with complaints of brief episodes of dizziness and a sensation of spinning that occurs when she turns her head or gets out of bed. She notes that these episodes last for about 30 seconds and are accompanied by nausea but not by any hearing loss. The NP suspects benign paroxysmal positional vertical (BPPV) and decides to perform a clinical test to confirm the diagnosis. Which of the following tests is most used to diagnose BPPV?

A 45-year-old woman presents to the clinic with complaints of progressive hearing loss in her right ear over the past six months. She also reports experiencing occasional dizziness and a persistent ringing in her right. An examination, the provider notes abnormal ear exam but suspects an issue with the inner ear. An MRI is ordered and the results reveal a mass on the right vestibulocochlear nerve. What is the most likely diagnosis for this patient based on her symptoms and MRI results?

A 29-year-old woman presents to the emergency department with complaints of a severe headache that began about an hour ago. She describes the headache as throbbing and located predominantly on the right side of her head. Before the headache started, she experienced visual disturbances, including flashing lights, and a temporary loss of vision in her right eye. She has a history of migraines but stated this episode felt different from her usual migraines. What is the most likely diagnosis for this patient?