What age is recommended for initial pneumococcal vaccine?

A 67 year old male presents to the emergency department with shortness of breath that has worsened over the last 3 weeks. He reports now he cannot lay flat at night, and becomes very fatigue with activity. Initial vital signs reveal an oxygen saturation of 87% on room air. The nurse applies 2L per nasal cannula and the patient’s oxygen saturation improves to 92%. His medical history includes hypertension, COPD, and sleep apnea. He reports non-compliance with his CPAP machine. The nurse practitioner orders a chest x-ray that reveals pulmonary edema. What is the most likely cause of the patient’s pulmonary edema?

All of the following medications treat various symptoms associated with Herpes Zoster except? 

What diagnostic test is used to confirm and differentiate types of Addison’s Disease? 

You are putting in admission orders on a patient diagnosed with a COPD exacerbation. The patient also has a history of hypertension and type II diabetes. She normally only take metformin 500mg PO BID for her diabetes. You understand the solu-medrol given for the exacerbation will likely cause hyperglycemia; therefore, you order sliding scale Humulin R to be given before meals.  If this patient received Humulin R insulin at 11am, what time will its effect have peaked? 

You are discharging a 54 year old male who was hospitalized for 2 days with hyperosmolar hyperglycemic nonketosis. The patient did not know he was diabetic until this admission. His hemoglobin A1c is 11.4. Which prescriptions are most appropriate for this patient upon discharge? 

Patient is diagnosed with H. pylori. What duration of treatment can the patient expect?

What treatment course is appropriate for Pelvic inflammatory disease (PID)?

You are putting in admission orders on a patient diagnosed with a COPD exacerbation. The patient also has a history of hypertension and type II diabetes. She normally only take metformin 500mg PO BID for her diabetes. You understand the solu-medrol given for the exacerbation will likely cause hyperglycemia; therefore, you order sliding scale Humulin R to be given before meals.  If this patient received Humulin R insulin at 11am, what time will its effect likely have peaked? 

What diagnostic test assists in diagnosing Cushing Syndrome?