A 62 year old male complains of chest pain that occured while shoveling snow.  The pain stopped after 5 minutes of rest.  In the office an EKG and vital signs are normal. His LDL is 169 and HDL is 23. His vital signs show the following: BP 155/90, HR 92, RR 12, O2 Sat 100%. Based on this information, what medications would you make sure that he was taking before leaving your office?

A 69 year old male presents to your office for a follow-up visit. He has a history of Heart Failure.  He complains of fatigue, difficulty breathing and cannot fit in his shoes.   His current medications are:  HCTZ 25 mg, Lisinopril 20mg. On exam, his Temp  98.4, BP 146/76, HR 72, RR 22, O2 100%.  Significant exam findings are: Cardiac: S3 gallop auscultated, Lungs: Crackles in bases,  and 2 + pitting edema. Which of the following medication changes would you consider appropriate for this patient?

A 45 year old female presents for folllow-up labs from her recent physical. She has no complaints and has a normal ECG. Her TSH was 16 (normal 0.4-5.5) and her free T4 was 0.5 (normal 0.7-2.0 ) and her T3 was 3 (normal 2.3 -4.2). What is your next step for her?

All of the following are acceptable treatments for depression except:

A 42 year old male with no medical history presents to the office complaining of pain in his left great toe starting 2 days ago. He indicates that he is unable to walk and is in a wheelchair. He denies any trauma to the toe or foot. The toe is red, swollen, exquisitely tender and he is unable to extend it. You review his chart and note that he has been married for 20 years, works as a auto salesman and drinks a 6 pack of beer daily. Select the best treatment from the options listed below. 

A 39 year old male presents to the office for shortness of breath and wheezing.  He indicates that he takes medium dose budesonide and formoterol but his symptoms are still not controlled. You have ruled out infection with a CBC and a CXR and he has been taken prednisone that he received from an Urgent Care office. He has an appointment with a Pulmonologist in one month. What is the next best step (according to GINA guideline) that can also be used to help control his symptoms?

A 48 yr old post menopausal Asian woman presents to the office for a physical. She has blood pressure readings of 146-152/90-94 documented over 2 months on three separate occasions. She has no other medical conditions. Her  ECG and creatinine are normal and she has no proteinuria.  She has mild trace lower extremity edema bilateral.  Clinical findings in today’s office visit are BP 145/92, HR 62, BMI 26, RRR, S1, S2, no S3, S4 or murmur, point of maximal impulse at fifth intercostal space, mid-clavicular line.  Which of the following represents the best treatment for her high blood pressure?

A 42 year old male with asthma also needs anthypertensive therapy. Which of the following should you avoid prescribing for him?

A patient is given metroniazole for treatment of an STI. You advise the patient of the following:

Which of the following is a true statement regarding kidney stones?