A 55-year old-male comes to clinic, complaining of a “suicide headache,” and reports his eyes are tearing more than usual. He has a history of smoking cigarettes. What type of headache is most likely the diagnosis? 

The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane’s description of her injury. Which of the following clues in Diane’s examination or history would alert the clinician to the need for obtaining radiographs?

The NONPF’s Seven Practice Domains include all except:

The following paragraph is an excerpt from the article, Evidence of Real-World Effectiveness of a Telephone Quitline for Smokers. The following paragraph makes it very clear that the quitline adheres to a particular theory. Which theory? “The participants were smokers who called the California Smokers’ Helpline, an ongoing statewide quitline operated by the University of California, San Diego, that provides free multilingual cessation services. A smoker’s readiness to quit is assessed when he or she first calls. Those who are not ready to quit within a week receive motivational materials; those who are ready receive self-help quitting materials and are also offered telephone counseling. This study recruited callers who said they were ready, wanted counseling, and gave consent to be evaluated . The evaluation design and consent procedure were approved by the university’s institutional review board.”

A 30-year-old female patient presents to your office to discuss intrauterine contraception. She would like about 5 years of contraception in hopes an intrauterine device (IUD) will also help with her heavy bleeding. She is not sure if she wants to have children. Which of the following is the best recommendation for her currently?

Signs and symptoms associated with the diagnosis of interstitial cystitis include:

What is the least common denominator:

What is the most common source of bacteremia in older adults?

Questions 62-66. Matching. Select the biological function that is associated with the respective nutrient.  Select the best answer.  

A 48-year-old male patient is seen in the ER with an episode of anaphylaxis after ingesting peanut butter. After he is stabilized and ready for discharge from the emergency room the NP educates the patient on anaphylaxis. All the following should be included in the education plan except: