Important Reminder: If you are disqualified, you will receiv…

Important Reminder: If you are disqualified, you will receive a zero on this test, and all other tests will be reviewed for violations. Furthermore, your name may be forwarded to the Dean, and your final grade could be reduced by one letter grade in accordance with the Academic Integrity Policy Ensure your immediate working area is free of papers, including post-its. The use of electronics of any kind is prohibited, including calculators. and headphones. You are permitted to use a blank piece of white paper for scratch work, a pencil, an eraser, and your ID. Keep your gaze primarily on your computer screen. Use the built-in calculator of the proctoring software on your computer. Do not use any other calculators. Questions will be presented one at a time, and you will not be able to return to previous questions. Ensure your camera is properly set up so that proctors can see your face clearly at all times. A camera angle showing the floor, ceiling, or the top of your head is considered unfocused. To Do: Please show both sides of your blank piece of paper to the camera

Select the correct answer: A 57-year-old Black adult with a…

Select the correct answer: A 57-year-old Black adult with a 15-year history of diabetes presents for diabetes follow-up and a blood pressure recheck. The last b/p in clinic was 145/88. Vitals: 158/92; pulse 70; resp 16; Weight 223 lb; Height 70 inches; BMI 32.0 Medications: metformin 1000 mg bid, semaglutide (Ozempic) 1 mg subcutaneously weekly Allergies: penicillin The physical exam in not remarkable. Chemistry panel (fasting) Glucose                  124 mg/dL Sodium                   140 mEq/L Potassium                3.9 mEq/L BUN                          15 mg/dL Creatinine                 1.2 mg/dL eGFR                           78 mL/min A1c                            7.1% Urine albumin/creatinine ratio (repeated x 3)       325 mg/g Cr; 303 mg/g Cr; 313 mg/g Cr Which of the following interventions should be incorporated into this patient’s clinical management plan?

Select the correct answer: The following thyroid function la…

Select the correct answer: The following thyroid function labs are obtained on a middle-aged adult during a routine annual physical: TSH           7.2 uIU/L Free T4      1.6 ng/dL Anti-TPO antibodies are positive. Other than complaints of periodic arthritic discomfort, the patient reports no physical complaints.  The physical exam is unremarkable. The primary care nurse practitioner should incorporate which of the following recommendations into the patient’s clinical management plan?