A 45-year-old male presents with chest pain. Which mnemonic is most commonly used to systematically characterize the chief complaint during history taking?

When documenting a patient’s past medical history, which of the following elements should the FNP include?

A 28-year-old woman presents for a new patient visit. Which question is most appropriate when beginning a sexual history?

A 60-year-old man presents for a routine physical. His father died of a myocardial infarction at age 52, and his brother was diagnosed with type 2 diabetes at age 45. Which statement best describes the clinical significance of this family history?

A 58-year-old male presents with a 3-week history of fatigue, increased thirst, frequent urination, and a 10-pound unintentional weight loss. His fasting blood glucose is 312 mg/dL and HbA1c is 10.4%. He has no previous diagnosis of diabetes. Which problem should be listed first on the problem list?

A 34-year-old woman reports a 6-month history of heavy menstrual periods and progressive fatigue. Her CBC shows hemoglobin 9.2 g/dL, MCV 72 fL, and serum ferritin 6 ng/mL. Which two problems belong on the problem list?

A 72-year-old man with known heart failure (EF 35%) and type 2 diabetes presents for a routine visit. His current medications include metformin, lisinopril, and carvedilol. BP is 148/92 mmHg, HR 58 bpm, weight is up 4 pounds from 2 weeks ago, and he has 2+ pitting edema bilaterally. Creatinine is 1.6 mg/dL (baseline 1.4 mg/dL). Which problem list best reflects the clinical data?

A 45-year-old woman presents with a chief complaint of palpitations and anxiety. She reports heat intolerance, a 12-pound weight loss over 3 months, and insomnia. On exam, HR is 112 bpm, BP 138/74 mmHg, and a diffuse non-tender goiter is palpated. TSH is 0.04 mIU/L and free T4 is 3.1 ng/dL. Which statement most accurately reflects the problem list synthesis?

A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 7.8%, normal renal function, and no cardiovascular disease. He prefers to avoid injections. Which initial pharmacologic therapy is most appropriate?

A 35-year-old previously healthy nonpregnant woman with uncomplicated outpatient community-acquired pneumonia has a documented penicillin allergy (mild rash only) and has not taken antibiotics in the past 3 months. She lives in a region with low macrolide resistance. Which oral regimen is most appropriate for empiric outpatient treatment?

A 72-year-old woman with osteoporosis, hypertension, and a DEXA T-score of -2.8 at the femoral neck asks about treatment. She has no history of esophageal disease and can remain upright for 30 minutes after taking a pill. Which therapy is most appropriate as initial treatment for her osteoporosis?

A nurse practitioner is developing a care plan for a 45-year-old Black man with newly diagnosed stage 1 hypertension (average BP 148/94 mmHg) and no heart failure, chronic kidney disease, or diabetes. According to evidence-based guidelines, which initial antihypertensive monotherapy is preferred?

A 58-year-old woman with type 2 diabetes mellitus and no significant comorbidities returns for a 3-month follow-up. Her most recent HbA1c is 7.8%. According to current evidence-based guidelines, what is the most appropriate HbA1c target for this patient?

A 62-year-old man with hypertension and no diabetes or chronic kidney disease has been on lisinopril 10 mg daily for 8 weeks. Today his blood pressure is 138/88 mmHg. Which statement best describes his treatment goal status?

A 35-year-old woman with community-acquired pneumonia was started on azithromycin 5 days ago. She returns today reporting she is afebrile, her cough has nearly resolved, and she feels significantly better. Which action is most appropriate?

A 72-year-old man with heart failure with reduced ejection fraction (HFrEF) was started on carvedilol 3.125 mg twice daily 2 weeks ago. At today’s visit, his resting heart rate is 58 beats per minute and his blood pressure is 100/68 mmHg. He reports mild fatigue. Which assessment is most accurate?