Callie is a 24 year old college senior that has recent started having episodes of fast heart beat, dizziness, feeling like she is going to die that last about 10 minutes.  They started 2 weeks ago, she has about 1-2 of these a day, and she feels dizzy between these episodes.  She went to the ER three times in the last 2 weeks and they have ruled out cardiac and neurological causes and all of her lab work (including catecholemines) are within normal limits.  You suspect she may have:

A 19 year old college student is diagnosed with acute otitis media (AOM). During pneumatic otoscopy the nurse practitioner expects the tympanic membrane (TM) to be:

Kyle is a 17 year old male that does not use a peak flow meter at home. You recommend that he start using one now. The most important reason you recommend this is because it:

Which of the following is NOT a common bacterial cause of sinusitis?

The US definitively won the War of 1812.

Jack, a 29-y/o white male, has just moved to his new farm near your rural health clinic. He has always lived on a farm and loves it. He was diagnosed with asthma at age 5 and has been using an inhaled beta-agonist (Ventolin), 1-2 puffs PRN (2-4 times/week) as treatment. Jack states that he seems to be getting worse during the last two months. He now has symptoms almost daily and “is not able to work on the farm like he used to.” On exam you note- mild respiratory distress today with generalized expiratory wheezes in all lung fields; RR 28; chest xray neg; FEV 65% of personal best.Based on Jack’s current situation your BEST plan of action would be to:

Jefferson passed the ________________ prevent war with France.

A 20 y/o female college student comes to student health with complaints of fatigue, fever, sore throat and nausea.  She states that a couple of her friends have had the same thing and were told it was a virus and they needed to stay on bed rest.  Temp today is 102, her throat is erythematous with tender posterior cervical lymphadenopathy.  Her liver is also slightly tender and extend 2cms below the costal margin.  Which of the following tests would help you the most with your diagnosis?

Which of the following is most consistent with iron deficiency anemia?

The clinician must differentiate chronic vitamin B12 deficiency anemia from folate deficiency anemia. Which action should the clinician initially take?