A 37 year old African American male presents to the office for a routine physical. This is the first time he has been to the doctor in 7 years.  He has no complaints and overall reports that he is doing well.  On exam, you note the following: T: 98.7, HR 72, RR 14, BP 145/88, BMI 27. The remainder of his exam is normal. What is the next best step?

A 45 year old female presents to your office with complaints of diarrhea, weight loss and sweating for the past 3 months. Her vital signs are as follows:  HR 115, BP 119/82., RR 12, SPO2 99% RA you note that her thyroid is enlarged.  You would like to evaluate her for a thyroid condition.  You order a TSH which is abnormal and then you order a Free T3 & T4.   Here are your lab results: TSH 0.2 mIU/L (normal  0.4-6 miU/L) Free T4 8.6 ng/dL (normal 0.7-2.0 ng/dl) Free T3 4.3 pg/dL (normal 2.3-4.2 pg/dL) Based on the above, the next logical step would be to order which of the following?

A 26 year old female comes to your office. She is very concerned because she was told by a previous sexual partner that he had been diagnosed with an STD. She reports that she has a discharge for the past several days. What is/are the next best step(s)?

A 20 year old female presents to your office complaining of headaches that she has had for the past several years. She indicates the headaches last all day and are associated with nausea and vomiting. Many times she gets a warning that the headache is about to start because she begins to see flashes of light and then black dots. What medication should she avoid in the future? 

If you list an author in your works cited/reference page you need to cite them within the paper.

Which of the following doesn’t need a citation?

Purchasing a program/paper or using an unauthorized tutor to complete an assignment is a cheating violation.

Common causes of bacterial conjunctivitis include

A 54 year old African American male with a history of asthma and seasonal allergies presents to the office with complaints of severe itching on his hands. He notes this has been going on for the past several weeks and it is driving him crazy. He works as a pilot and feels like the itching it getting in the way of his job.  He has used some over the counter anti-itch lotions but they do not seem to be helping him. On examination you note dry, flaky skin, that has erythematous papules with lichenification. There is no drainage or signs of infection. How would you treat this patient?

A patient comes into the office for his diabetes. You advise the patient that you are going to start him on liraglutide and explain to this patient the medication works by the following: