Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1-10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20-60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is:

1. Acute pyelonephritis
2. Nephrolithiasis (kidney stone)
3. Bladder cancer
4. None of the above

Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is your most likely treatment plan?

1. Use cold compresses on the groin area
2. Start on antibiotics
3. Give him acetaminophen and have him back in 24 hours
4. Send him to the ER. This is a surgical emergency.

Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Pharmacological treatment for Joan could include which of the following drugs:

1. Fluoroquinolone
2. Ceftriaxone
3. Ciprofloxacin
4. All of the above
5. A & C only

Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:

1.  Korsakoff's syndrome
2.  Insomnia
3.  Anorexia nervosa
4.  Bipolar disorder

Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be:

1. An acute MI
2. Abdominal aortic aneurysm
3. Infective endocarditis
4. Congestive heart failure

  

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