The NP is seeing a patient for a follow up on their psoriasis.  They tell you they have noticed some new joint pain over their elbow where their psoriasis is. What are your thoughts?  

Jane comes into your clinic and you diagnose her with interstitial cystitis.  You know that symptoms of interstitial cystitis are most like what other condition?

Which of the following is a risk factor for developing Alzheimer’s disease?  

Mrs. Peters is a diabetic patient of yours.  Of the following risk factors which one is NOT a risk factor for Mrs Peters to develop a foot ulcer.

Which of the following drugs can be used in the treatment of fibromyalgia?

Which of the following groups are considered high risk for tuberculosis?

The NP sees a patient who is here for new rash behind their ear and into their hair line.  They mention they have had it a couple of weeks and that it is scaly and red and oozes some that sticks in their hair.  On exam you see the picture below.  What would diagnose and how would you treat it?    

A 22 year old male student comes to the student health clinic today. He admits that he’s been eating greasy dorm food since the start of school and has been very constipated and had to strain excessively to have a bowel movement. When he came out of the bathroom, his eye was red. Upon history taking, he denies pain, vision change, headache, and discharge from the eye or any other noted changes. You suspect:

Mr. Ruby, your 67 year old patient, who told you his father died of a ruptured abdominal aortic aneurysm (AAA). You reviewed his medical history, which included a history of Aortic Regurg, Obesity, 35 pack year smoking history, and remote history of alcohol abuse. Mr. Ruby’s physical assessment is unremarkable. You feel no abdominal pulsation and auscultation reveals no bruits. Mr Ruby asks you if he should have any testing. Your best response would be:

The NP is seeing a new patient who has had low back pain for over 4 months.  They have tried NSAIDs and Tylenol with very little relief.  It is affecting their activities of daily living and their sleep. They are very frustrated and really want some help.  Which of the following do you need to r/o with chronic pain?