For this patient, what is (are) your most important diagnostic test(s)? 

You are treating an adult patient for peptic ulcer disease and H. Pylori testing comes back positive. The patient has no known allergies. What is the recommended, most effective initial pharmacologic treatment for this patient?

A patient presents with abdominal pain, abdominal distention, and hemodynamic instability. What is your TOP differential? 

Which of the following is most likely exhibiting signs of an acute abdominal condition requiring surgical intervention?

What is the most likely diagnosis? 

Your next patient has been having intermittent reflux symptoms, worse with certain foods, and if eating right before bed. Noted that initially had good relief with TUMs and has been using famotidine (Pepcid) BID with modest improvement, but notes “breakthrough” symptoms. No weight loss, dysphagia, or change in voice. At this point, which would be the next best step in management of this patient’s symptoms? 

How are you going to treat and educate this patient based on your differential? 

A patient presents to the clinic in respiratory distress, hypotensive, cyanosis, altered mental status, heart murmur, pleuritic chest pain with radiation to the back. What is your initial treatment plan? 

A patient presents to urgent care with complaints of chest pain. When you are collecting a history you note that the patient has dyspnea on exertion, increased fatigue, orthopnea, and paroxysmal nocturnal dyspnea. Consider your top differential and what would be the initial treatment plan for this patient? 

According to JNC-8 guidelines, which of the following is the most appropriate threshold to treat a 70-year-old Caucasian male for hypertension?