A 24-year-old nulliparous female with occasional spontaneous, bilateral milky nipple discharge has no other significant breast findings. She has regular menses and a negative pregnancy test. She takes no medications and denies use of illicit drugs. Her prolactin and TSH levels are normal. An appropriate next step in her management would be:                 

Freddy Snow Removal’s cost formula for its vehicle operating cost is $2,850 per month plus $317 per snow-day. For the month of December, the company planned for activity of 16 snow-days, but the actual level of activity was 14 snow-days. The actual vehicle operating cost for the month was $7,640. The spending variance for vehicle operating cost in December would be closest to:

A 51-year-old female asks you if she should take estrogen to help her memory because she is sometimes forgetful and has difficulty concentrating. Her mother developed dementia at age 65. The best initial response would be to:                                                  

Primary amenorrhea may be due to which of the following conditions? (Select all that apply)

In symptomatic patients which infection(s) would you treat with metronidazole (Flagyl)?

You have diagnosed your teenage patient with primary dysmenorrhea. Describe three lifestyle modifications you, as the FNP, can suggest.

Your patient is a 22 year old nulligravida who presents with a h/o amenorrhea for the last four months. Menarche age 12 with irregularity for first few cycles but became rapidly regular and were occurring every 27-29 days with a flow lasting 3-5 days (Menstrual triad 12×27-29×3-5). She denies sexual debut, previous STIs, pregnancies. She reports a negative PMS and PSH, is on no medications. What is the first test you would perform to aid in your clinical decision making?

Please match the following conditions typically seen in menopause with their appropriate treatment options.

Which of the following actions does the estrogen in combination oral contraceptives (COCs) include? (select all that apply)                                       

During the early menopause transition, which of the following symptoms would you expect to find in your patient? (Select all that apply)