40-year-old obese male with a history of DM and works as a landscaper presents with multiple complaints including “a rash on my scalp, elbows, hands and knees that won’t go away.” He also reports flaking of skin and “waking up with my pillow covered in dead skin.” He first noticed these symptoms “a few months […]

65-year-old male presents with concerns over a few nevi and wants you to “take a look” at them. He has always had “a lot of moles” but he is fair skinned and has had issues with excessive solar exposure and sun burn throughout his life. He is most concerned about a new nevi that he […]

25-year-old female patient presents with a new asymptomatic single oval, sharply demarcated, salmon-colored lesion on her back which measures 5 cm in diameter. She noticed that a few days later, oval lesions similar in appearance, but smaller, began to appear in crops on her trunk and proximal areas of her extremities. On exam, you recognize […]

50-year-old male with a history of non-Hodgkin’s lymphoma who has been otherwise well and NED (no evidence of disease) for the past two years presents to your office with multiple complaints. He tells you over the last three weeks he’s noticed insidious onset of low back pain which has gotten progressively worse. NSAIDs and Tylenol […]

24-year-old soccer player presents with complaints of severe ankle pain after an inversion injury during a game a few nights ago. He says “I was going for the ball but caught my cleat on another players foot which caused me to roll my ankle.” He then tells you that he heard an audible “pop” followed […]

A 13-year-old patient with a past medical history of attention-deficit hyperactivity disorder (ADHD) presents to the clinic for routine follow-up. They were started on methylphenidate six months ago and have improved their symptoms. They have no history of cardiac disease. Vitals and physical exams are unremarkable. What is the most appropriate management? A. 24-hour ambulatory […]

Freya has just been admitted into the hospital for a rather embarrassing surgery. She is mortified when an acquaintance who works at the hospital posts a detailed ‘get well’ message on her page on Facebook. Which of the following is TRUE? Question 1 Select one: a. Freya may be able to sue her acquaintance for […]

45-year-old female with a history of rheumatoid arthritis currently treated with methotrexate presents with complaints of episodic vertigo, tinnitus and hearing loss for the past few months. Dix Hallpike maneuver is negative. You suspect that she has Meniere’s disease, and this is later confirmed by additional audiometric testing. You initially offer a prescription for meclizine […]

27-year-old patient with no PMH presents with complaints of severe progressive fatigue, pharyngitis, fever and “swollen glands.” Physical examination reveals an injected oropharynx without tonsillar exudate, tender anterior and posterior cervical LAD (lymphadenopathy) as splenomegaly. He is allergic to penicillin (rash). Based on this you diagnose him with the following condition and order the following […]

70-year-old male with a history of hypertension, dyslipidemia and BPH presents with craniofacial pain, sinus pressure, purulent rhinorrhea and fever for the past 12 days. He has no allergies to food or medicine. You diagnose him with acute bacterial rhinosinusitis and prescribe amoxicillin-clavulanate 875-125 mg po bid x 10 days. In addition to antibiotics, which […]