Evaluate each of the following integrals using any techniques learned in class. Box or circle your final answers.   (a)

A 48 year old patient is following up after a visit where an elevated blood pressure was noted. Upon review of their home BP log, you note the following BPs: 138/88, 147/90, 144/88, and 140/90. Today in clinic the blood pressure is 154/90. With this information, you believe:

A 21-year-old college student reports that twice in the past month, he suddenly felt like he couldn’t breathe, his heart was pounding, and he thought he was going to die. These episodes happened “out of nowhere,” lasted around 10 minutes, and resolved on their own. What does this presentation suggest?

A 48 year old female patient presents to clinic with bilateral hand and finger pain. The patient also notes that her finger joints are swollen. She identifies that the pain is worst in the early morning and improves after about 2 hours when she “gets up and moving” for the day. Based on the patient’s presentation, you know which of the following is the most important to order?

A 49-year-old woman reports difficulty sleeping due to an uncomfortable, crawling sensation in her legs that improves when she walks. Symptoms are worse in the evening. Which additional finding would best support the diagnosis of restless legs syndrome?

A 20-year-old African American woman presents to the emergency department with severe, sudden-onset chest pain and shortness of breath. She also reports generalized fatigue and joint pain. She has a known history of chronic anemia but has not followed up with a primary care provider in over a year. On exam, she is tachycardic, tachypneic, and has mild scleral icterus. Oxygen saturation is 91% on room air. Laboratory studies show: Hemoglobin: 7.9 g/dL (low), Reticulocyte count: 10.2% (high), MCV: 96 fL (normal), LDH: elevated, Indirect bilirubin: elevated, Haptoglobin: undetectable. What is the most likely diagnosis?

A 19 year old patient reports to the urgent care with severe abdominal pain in the left upper quadrant after taking a hit to the abdomen during a soccer game. The patient notes that he has also been sick frequently over the past month beginning with a viral illness of fever and severe sore throat. The patient notes that he was seen and was told that his strep test was negative and that the viral illness would likely pass. You suspect the patient may have:

A nurse practitioner’s role on the interdisciplinary team includes which of the following responsibilities? (SELECT ALL THAT APPLY)

As a Nurse Practitioner in California, you are preparing to prescribe a Schedule II controlled substance for a new patient with chronic pain. Which of the following actions demonstrates responsible prescribing practices in accordance with state requirements?

A 68-year-old woman with a recent shingles outbreak reports persistent burning pain in a dermatomal distribution along her left rib cage that has continued several weeks after symptom onset. She finds clothing uncomfortable on the area. Which treatment is most appropriate to initiate?