A 30-year-old male with HIV presents for evaluation of a painful ulcer in his mouth. On examination, there is a shallow ulcerated lesion on the upper lip. He does not have lesions on any other part of his body. One week prior, he was seen with similar symptoms and specimens obtained for herpes simplex virus (HSV) polymerase chain reaction (PCR) and culture were negative. Serologic syphilis testing (IgG antibody) is negative. Testing for mpox is negative. He has not had sore like this previously. In addition, he has not had any sexual contact for approximately 4 months. Which treatment should you recommend for this patient’s oral lesion?  

Bauen Sie zwei Sätze mit “Subjunctive 1/Expressing information questionable to the writer” (wie auf S. 266-67).  Geben Sie eine englische Übersetzung für jeden deutschen Satz.

Stellen Sie die richtige W-Frage zur unterstrichenen Satzposition. _______________________ Der Kandidat nimmt offensichtlich an, dass sich die ökonomische Lage des Landes immer weiter verbessern werde.

Glucagon-like peptide receptor agonists (GLP-1 RA) such as Wegovy and Zepbound, are an anti-obesity approved medication. A patient asks the nurse practitioner how this medication works for weight loss; select the best response:

Your patient has had some declining health and is now experiencing delirium. Her daughter is identified as the patient’s Power of Attorney. Which statement by the daughter indicates a need for further education on the Power of Attorney document?

The inflammatory bowel disease that affects all layers of the GI tract, usually involves the lower portion of the small intestine, but can impact anywhere in the GI tract from mouth to anus is:

Jacqueline is a 57-year-old who presents to clinic today with a 24 hour history of left lower quadrant pain, fever as high as 101 and non-bloody diarrhea for the last 24 hours. Physical exam is normal except for her abdomen is mildly distended with hyperactive bowel sounds, tenderness to palpation to the left and inferior to the umbilicus.  Your most likely diagnosis is:

You make a home visit with your next patient who is receiving hospice care. His wife reports to you that all of the inhalers and breathing treatments are not working. She can’t stand to see him struggle to for each breath anymore. You note the patient is gasping for breath though his O2 sat is 98%. What is your best response to the patient’s wife?

Which major brain region is indicated by “E” in the image below?

Anna, a 38-year-old, presents to clinic with a recent sinus infection, left lid swelling, conjunctival chemosis and injection, and pain with eye movement. The patient tells the NP she is having a hard time seeing. Upon physical examination, the patient also has proptosis and diplopia and is febrile. What is the APRN’s best plan of care for Anna?