Your 55 year old female patient is complaining of palpitations, occurring daily for several months now. She has no dizziness, chest pain or shortness of breath. She has no history of medical illness and no identifiable cardiovascular risk factors. Cardiac auscultation reveals a regular rate and rhythm, no murmurs. You next step in your in-office evaluation should be:

Morris is in a new relationship and is not sure whether his erectile dysfunction is caused by stress or is organic. What is the least invasive test could you suggest to determine if he has the ability to have an erection?

Kevin age 49, is complaining of recurrent, intrusive dreams since returning from his Marine combat training. You suspect:

**Jason is a 72 y/o male that has abeen diagnosed with Chronic Lymphocytic leukemia (CLL).  You have been discussing his treatment options.  After your discussion, what response from Jason indicates his understanding of his diagnosis?

Larry Baxter, 59 y/o patient presents to the clinic with general complaints of fever, chills, low back pain, accompanied with urinary frequency, urgency and dysuria.  Last night he had to get up several times to urinate.  Overall he just doesn’t feel well.  When performing a prostate examination, you note a tender, warm prostate. What do you suspect?

Which of the following describes what happens with glaucoma?

You are seeing a 24 y/o female who comes in the clinic with complaint of abdominal pain. Which of the following added information would cause you to suspect an emergent condition?

**  When evaluating your patient’s understanding of finasteride (5 alpha reductase inhibitor), which of the following statements about this medication needs further education?

**Acne, Obesity and Male pattern alopecia are all clinical findings with Cushing’s Syndrome (True or False)

*When is antiretroviral medication therapy to be started on all patients diagnosed with HIV?