Your 79 year old patient, Betty, comes to the clinic complaining of palpitations and irregular fast pulse on an intermittent basis for about a week, sometimes lasting for 30-40 minutes at a time. She feels short of breath when it occurs, but feels fine at the time of your visit this morning. You are most concerned your patient has which of the following diagnoses:

You are counseling a 65 y/o female on age appropriate cancer screenings.  She has been a smoker for over 30 years.  She denies any cough, shortness of breath or hemoptysis.  Which of the following screenings would be used for lung cancer?

What is the most appropriate therapy for a client with pernicious anemia:

You want to slow the progression of a CKD in one of your patients, according to the NIDDK, which of the following are recommended?

All of the following medications are recommended for the treatment of major depressive disorder (MDD) EXCEPT:

*A 5y/o presents to clinic with a week history of confusion with some stumbling.  But, this morning he got up and just vomited without any warning.  Which of the following tests should you be considering now?

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

**Kelly is a 65 y/o white female that presents with vague abdominal pain with bloating.  She states that she feels pressure in her pelvis.  You are concerned for an ovaian malignancy.  Which of the following will be most helpful in determining if she has a benign versus malignant mass of the ovary?

**Which of the following patients would ovarian cancer be at the top of your differential list?

Which of the following are necessary for a diagnosis of depression?