Fred McCormick comes to the clinic today complaining of intermittent pain in his chest, worried he is having a heart attack. Pain started two days ago. His history: Age 38; no hypertension; mild hyperlipidemia treated with diet therapy; life-long non-smoker; parents; siblings all alive & well with no family of CAD; no previous hx of PVD or CVA/TIA; BMI is overweight, but not obese. Physical assessment: Stable VS, 124/67, HR 88, Regular rhythm, non murmurs, cleart lung sounds. Chest wall palpitation reveals tenderness and reproducible pain at the costo-sternal area. EKG: normal sinus rhythm with no ST changes. The nurse practitioner should proceed with which of the following:

Which of the following are considered risk factors for coronary artery disease?

All patients who experience a syncopal event should be referred to neurology. 

Sarah, an 18 year old, fainted while at Soccer practice yesterday afternoon. You are seeing her the following day. Your initial work-up should include:

Barry passed out after standing on stage at his high school musical performance. He states the stage lights were so hot, and he started sweating and felt a little sick to his stomach prior to the event. He had a similar event last spring. The event occurred after standing for a prolonged time in a hot room, crowded with his peers.  The nurse practitioner diagnoses him with syncope and includes the following recommendations in the treatment plan:   

Mrs. Dukoti complains of chest heaviness when walking her dog. It typically goes away when she rests for a moment. This description is most consistent with: 

Betty passed out over the week-end. All of the following are common reasons for syncope, EXCEPT: 

An NP is teaching a patient about how to screen themselves for skin cancer.  Which of the following is helpful?

A 35y/o male with a past medical history that includes psoriasis presents to the office for an annual physical. While obtaining a detailed history, the NP recognizes that it would be important to inquire about any personal history of:

Psoriasis presents with plaques and silvery scales. Scales are difficult to remove and when they are removed, bleeding often results.  This is refered to as what?