Explain why astronauts in the International Space Station are not ACTUALLY experiencing zero gravity. 

Starr, a 72-year-old woman comes to the clinic complaining of having difficulty when she tries to do type on her computer. She walks straight, although somewhat slowly, and no rigidity is noted on movement. She states the shaking in her hands stops when she holds her hands in her lap. What tentative diagnosis would the family nurse practitioner make?

Bethany, a 26-year-old woman with no significant past medical history presents to the clinic with a chief complaint of new onset headaches. She says that these headaches have occurred about 2-3 times a month for the past four months and are located in the right temporal region. A few hours before the headache, she experiences seeing blind spots and bright lines, which resolve spontaneously. The headache persists for a few hours and is associated with nausea. She also reports being stressed in the last few months due to low grades in nursing school. Vital signs show BP 112/74 and pulse 80. The neurological exam is non-focal. Which of the following can be a long term complication in this patient?

Julianne, a 34-year-old woman presents to the primary care clinic today with compliants of weakness, fatigue, double vision (diplopia), and difficulty chewing. The patent reports this weakness becomes worse during the day. Physical exam shows slight dysarthria, dysphagia, ptosis, and limb weakness. What is the most likely diagnosis?

Dwayne has recently started on carbamazepine to treat seizures. His carbamazepine levels were within therapeutic range on his last visit. However, during today’s visit, his level was low.  Dwayne, insists he is compliant and has not missed a dose. What could be a possible cause of low carbamazepine levels?

The FNP is seeing Lilly, a 35-year old Caucasian female for increased frequency of her migraine headaches. Upon reviewing the patient’s headache diary, the FNP knows that the following may be triggers: (select all that apply):

Matthew, an 14-year-old child reports to the primary care clinic after being sent home from school with what appears to have been a syncopal episode while swimming at at swim team practice. After a normal initial evaluation, including normal orthostatic BP in the clinic, what is the most appropriate next step in managing this patient?

Cheryl, an 80-year-old woman is brought to the clinic by her daughter, who reports that her mother has experienced increasing difficulty with memory over the past year. She often forgets recent conversations, misplaces common items, and has gotten lost in familiar places. Additionally, she shows signs of poor judgment, such as giving away large sums of money to telemarketers, and has become withdrawn from social activities she once enjoyed. A mental status exam reveals impaired short-term memory, difficulty with word-finding, and disorientation to time. Which of the following is the most appropriate next step in the evaluation of this patient to confirm the diagnosis of Alzheimer’s disease?

Pregnant women who are Human Immunodeficiency Virus (HIV) positive can be treated with what therapy?

Phoenix, a 13-year-old boy is brought to the urgent clinic by his parents who state that their son was hit in the head by a soccer ball about 45 minutes ago and they are concerned about a possible concussion.  As the FNP, you know that a CT scan of the head is warranted only if he lost consciousness and which of the following: (select all that apply)