1. Question: At a follow up from a hospitalization, an adult patient presents with ankle edema. Which of the following medications is the most likely cause of the edema?

2. Question: An older adult presents with the single complaint of bilateral pedal edema. The patient has a history of diabetes and high blood pressure and is on oral medications. Which of the following medications is the MOST likely cause of the patient’s complaint?

3. Question: An older adult with diabetes mellitus presents with leg cramps. She states that the cramps as worst when walking to the supermarket. If she stops to rest, the pain subsides. The nurse practitioner knows that this patient needs a workup for:

4. Question: Your 53 year-old female patient is experiencing shortness of breath and has a diagnosis of pulmonary arterial hypertension. Which ventricle is directly experiencing increased afterload from this disease state?

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147. Question: An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies trauma, palpitations, or GI symptoms. T = 98.7°F (37°C), P = 86, R = 20/min, BP = 112/60 mm Hg, O2 Sat = 97%. Lungs are clear to auscultation, and heart sounds are normal S1 and S2 without murmurs, clicks, or rubs. Physical examination reveals localized chest wall tenderness at the costal margin. An EKG shows normal sinus rhythm. Chest X-ray is normal. The most likely diagnosis is:

148. Question: A patient returns for a follow up 3 days after being diagnosed with pneumonia. The patient has a productive cough. A sputum culture and sensitivity is ordered. Which of the following is the most common cause of community-acquired pneumonia?

149. Question: A 55-year-old man with a history of smoking presents with a persistent cough and hemoptysis. A chest X-ray reveals a solitary lung nodule. What is the most appropriate next step?

150. Question: Severity of COPD is most effectively evaluated with the use of which diagnostic test?