David is a 60-year-old male who presents to clinic with his…

David is a 60-year-old male who presents to clinic with his wife with a 1-day history of substernal chest pain that radiates into his left jaw and left posterior shoulder blade.  He became acutely short of breath this morning after breakfast.  After completing a history and physical on David you suspect he is having an acute MI.  In addition to obtaining an EKG and giving David supplemental oxygen if available, what next steps are most appropriate for David?  

Obesity is now recognized as a chronic disease which represe…

Obesity is now recognized as a chronic disease which represents a dysmetabolic, proinflammatory state associated with external and internal physiological and psychological stressors.   Primary care providers must utilize evidence based strategies when collaborating with patients.  Which options includes these strategies? Select all that apply.

A patient on palliative care for CKD stage 5 expresses that…

A patient on palliative care for CKD stage 5 expresses that she continues to have some sleep difficulty.  Her dialysis treatment is maximized and working well. She has tried all of the sleep hygiene measures as well as meditation. Nothing is working. Which medications would you suggest to take at bedtime as possible pharmacologic treatments to assist her sleep disorder? Select all that apply.