A female patient with asthma reports that over the past month, she wakes up 1-2 times per week short of breath and needing to use her rescue inhaler. She also reports shortness of breath interfering with daily activities several times per week. She is able to talk in full sentences and have a mild wheeze on auscultation. Is the patient’s asthma:

A 24-year-old patient presents for a consultation regarding depression. The patient is regularly seen by a mental health counselor and during their most recent sessions, they’ve discussed some of the benefits of antidepressant medication. The patient would like to discuss options for medical management of her depression. Prior to initiating therapy with an SSRI, you decide to get an EKG. You know it is important to evaluate the patient for:

A 16-year-old patient presents with a history of persistent acne for the past 6 months. On examination, the patient has many comedones and some papules/pustules on the face. There is no scarring or cystic acne. Based on the severity of the acne, how would you stage this patient’s acne?

You are seeing a patient with a history of allergic rhinitis for their annual physical. During your review of systems, your patient notes that he has had a ‘drippy’ nose over the past few weeks. On physical exam, you expect to find:

A 62-year-old smoker presents with shortness of breath. On examination, the patient has a prolonged expiratory phase and decreased breath sounds. Pulmonary function tests reveal increased total lung capacity. The patient’s chest X-ray shows hyperinflation with a flattened diaphragm. Which condition is most likely?

A 63-year-old patient presents to the clinic for a follow-up regarding his COPD management. He continues to smoke and chew tobacco products, but his symptoms seem well-managed on his current regimen. On exam, you note a white film on the tongue. Which of the following assessment findings would help you determine whether the patch is thrush or leukoplakia?

An 8-year-old patient presents with their parent, who reports that the child has frequent ear infections, occurring about 6-10 times per year. On examination, you observe a middle ear effusion without erythema or purulent drainage. Based on this presentation, you suspect the child may have:

A 70-year-old patient presents with a rough, scaly, erythematous lesion on the back of his/her hand that has been slowly developing over the past few months. The lesion is about 1.5 cm in diameter and has a dry, flaky surface. The patient has a history of significant sun exposure. Based on the clinical findings, which of the following features distinguishes actinic keratosis (AK) from squamous cell carcinoma (SCC)?

A 72-year-old patient presents with complaints of blurry vision, difficulty seeing at night, and increased sensitivity to glare. The patient mentions that their vision seems to be getting progressively worse, especially when driving at night. On physical examination, you note that the eye appears _____. Based on these findings, you believe the patient most likely has _____.

A 74-year-old male with past medical history of hypertension and hyperlipidemia. The patient reports with a chief complaint of shortness of breath. On physical exam, you note that the Point of Maximal Impulse (PMI) is shifted laterally on palpation, you auscultate an S4 sound, and the EKG demonstrates Left Ventricular Hypertrophy. You refer this patient to cardiology under a diagnosis code of: