78 year old, Bertha has persistent atrial fibrillation, rate controlled in the 70 beat per minutes range, which class of medication should considered?

Joe comes to the clinic because his wife noticed a lesion on his ear. The lesion is ill-defined, red with a rough surface, there is some overlying scaling with a cutaneous horn. He says that sometimes it will open up and bleed.  He also states that it is painful at times. You suspect this lesion is a:  

All of the following are treatments for psoriasis except  

  A 20-year-old female comes to clinic with low-grade fever, prolonged diarrhea of three months with abdominal pain especially after eating, weight loss, and generalized fatigue.  She has also developed an oral aphthous ulcers. She has intermittent diarrhea and occasionally has blood in her stool. Based on her symptoms, demographics, and risk factors, the NP’s top diagnosis would be:  

  Paul comes in to your office reporting a “sore spot” on his thigh.  He is worried  that a girl has given him some awful disease.  When you look at the lesion on his right thigh you see a salmon colored, sharply marginated plaque type lesion with white scale. Paul says he scratched at this lesion and it bleeds.  Paul asks you if this is an STD. You tell him:

A 50 y/o white male presents to the clinic with increased dyspnea, temp (102 F), pulse 104, resp 44, and o2 saturation of 84%. Physical examination reveals diffuse rales and rhonchi bilaterally. Medications include:Atenolol 25 mg po qd.Predinsone 10 mg po qd.Atrovent 1-2 puffs qid prnAdvair 100/50 2 puffs bid The NP preliminary diagnosis is pneumonia, pending CXR results. Which medication puts this patient at risk to become immunocompromised?  

**Kendy is a 35 y/o female who presents with c/o polyuria, polyphagia, and polydipsia.  She has recently had several yeast infections.  The results of her 2-hour glucose tolerance test was 210 mg/dL.  Which of the following best describes the findings of her results?

  Howard complains of falling asleep at his job and being tired all the time.  VS: BP 150/88, P 84, R 20, Wt. 295, Ht. 5’7”. Which of the following conditions would MOST LIKELY account for this complaint and require further evaluation?

Women who leave an abusive relationship:

Juliana, a 34 year old caucasion lady comes to see you because she has a small mole on her back that is annoying her. She says it appeared last year as a small (head of a pin sized) black mole. Lately it seems to have enlarged and raised up some. You see a 5mm black,brown,purple raised lesion. You are concerned that this may be a melanoma. How do you need to treat this lesion?