Mr. B, a 65 year old male diabetic patient of yours, comes to see you today for weak urinary stream, incomplete bladder emptying and difficulty postponing urination in the past 2 months.  He has had no fevers, hematuria or penile discharge.  Digital rectal exam reveals a firm, smooth, symmetrical enlarged prostate, about 3.5 x 5cm.  You are unable to differentiate the median sulcus.  No other abnormals on P.E.  He most likely has:

In providing health teaching related to dietary restrictions, the nurse practitioner should advise a patient with gout to avoid which of the following dietary items:

A 25 year old male is coming to you with shortness of breath that has been persistent for some time.  He is trying to be more active, but this has been limiting him.  Past medical history includes having Hodgkin’s Lymphoma at age 15.  He was treated with chemotherapy that included bleomycin and also received radiation to the mediastinum.  Which of the following should you suspect?

Your 25 y/o Caucasian patient has no family history of cancer. Screening for colorectal cancer should begin at what age for this patient?

What is the first medication used to treat polymyalgia rheumatica (PMR)?

Which of the following can contribute to poor prognostic outcomes for a diagnosis of cancer?

You are seeing a 64 year woman for a new patient visit including well woman exam.  She had a total hysterectomy at age 49 due to fibroids.  She tells you that she has been having pap smears every 3 years. Which of the following would you recommend for her preventative care now?

A 49 year old woman is diagnosed with intraductal breast cancer after a modified mastectomy and an axillary node dissection. HER2/neu, estrogen receptor and progesterone receptor were all negative. She was also found to have BRCA 1 and 2 gene mutations. She wants to know what to tell her younger sister age 40. You would recommend what type of screening for her sister?

A 67-year-old G2P2 presents who had her first DEXA scan last week. Her results demonstrate a T score of -1.5. What does this mean for her bone mineral density?

Which of the following are included in the differential diagnosis for this rash as shown?