Jonathan had been an FNP for 10 years and now that Full Practice Authority is available to FNPs in the state of Illinois, he plans to apply for Full Practice Authority. According to the current Illinois State Nurse Practice Act, in order to apply for Full Practice Authority (FPA) in the State of Illinois, Jonathan […]

a 45 year old man was brought to the ED by the police after being called by neighbors because of loud shouting. The patient and his wife had engaged in a physical altercation, and both are treated for minor injuries. The psychiatric mental health nurse practitioner is called to do a psychiatric evaluation. On review […]

This 78 year old female with right hip pain due to degenerative joint disease is admitted for a total hip arthroplasty. Her pain started eight years ago. Her activities of daily living are now severely limited, as she has a limited ROM. In addition to the hip problem, she has glaucoma with decreased visual acuity. […]

GI is a 45 yo woman coming to clinic today complaining of sensations of warmth that start in her stomach and go up to her throat. It happens after dinner, especially if she eats right before bed and occurred five times in the past week. The symptoms impact her quality of life. She denies throat […]

NA is a 48 yo man with hypertension and GERD who is following up in clinic after starting pantoprazole 40 mg daily. He says that he takes the PPI in the morning and usually skips breakfast. He doesn’t think the pantoprazole has been helping with his heartburn, which he has almost every day and is […]

KT is a 60 yo woman with GERD and LA Grade B esophagitis who has been on lansoprazole 30 mg PO BID for 15 years. Her friend recently told her that it was not good to take PPIs long-term, and she wants to know what risks she should be aware of. Which of the following […]

TV is a 63 yo woman with a history of osteoarthritis, gastric ulcer (2016), and myocardial infarction (2001) recently started on chronic NSAID therapy. Her doctor wants to prescribe her something to prevent a stomach ulcer while she is taking NSAIDs. She also has a history of medication non-compliance. Which therapy has the best data […]

BS is a 49 yo woman with anxiety and depression. She was in an abusive relationship with a man 2 years ago and for the past 4 months has had severe abdominal discomfort at least once a week that improves with defecation, constipation, and pellet-shaped stools. She has a family history of colon cancer. BS’s […]

A 75-year-old Chinese-American is diagnosed with epilepsy (generalized seizure type) and indicated for chronic management. They also have diabetes and COPD. Which of the following is the most appropriate initial therapy for their epilepsy? A 75-year-old Chinese-American is diagnosed with epilepsy (generalized seizure type) and indicated for chronic management. They also have diabetes and COPD. […]

BG is a 29-year-old woman with newly diagnosed focal seizures. She and her spouse are trying to get pregnant. Which medication should be avoided in her due to its risk of birth defects? BG is a 29-year-old woman with newly diagnosed focal seizures. She and her spouse are trying to get pregnant. Which medication should […]