A 55-year-old male with a 4-year history of type 2 diabetes mellitus was noted to have microalbuminuria 6 months ago, and returns for a follow-up visit. He has been on an ACE inhibitor and his blood pressure is 140/90 mm Hg.
The addition of which one of the following medications would INCREASE the likelihood that dialysis would become necessary?

A 30-year-old female presents to your office with a clear nasal discharge, sneezing, nasal congestion, and nasal itching. She notes that these symptoms generally occur in the spring and fall.

The most effective drug for treatment and prevention is?

A 48-year-old female presents as a new patient to your office. She has not seen a physician for several years and her medical history is unknown. Her BMI is 24.4 kg/m2 and she is not taking any medication. Her blood pressure is 172/110 mm Hg in the left arm sitting and 176/114 mm Hg in the right arm sitting; her cardiovascular examination is otherwise unremarkable. A baseline metabolic panel reveals a creatinine level of 0.68 mg/dL (N 0.6–1.1) and a potassium level of 3.3 mEq/L (N 3.5–5.5).

If the patient’s hypertension should prove refractory to treatment, which one of the following tests is most likely to reveal the cause of her secondary hypertension?

Which one of the following medications used to treat psychiatric disorders is associated with an increased risk of agranulocytosis?

Which one of the following is considered first-line therapy for mild to moderate Alzheimer’s disease?

A 35-year-old white female complains of severe pain in her right shoulder. She notes that at night the pain intensifies if she rolls onto her right side. She has marked pain with no weakness on abduction of the shoulder; range of motion of the shoulder is normal.

The most likely cause of her pain is?

Static stretching before running has been shown to?

A 17-year-old football player presents to your office on a Monday with a right knee injury. He injured the knee in Friday night’s game when an opposing player fell against the knee from the front while the patient had his right foot planted. He was unable to bear weight after the injury, and noted immediate swelling of the knee.

A positive result with which one of the following would indicate an anterior cruciate ligament tear?

A 66-year-old female sees you for the first time. She has a history of iron deficiency anemia and
chronic diarrhea associated with a diagnosis of celiac disease.

This history increases her risk for which one of the following?