A 40 year old female presents to your clinic with complaints of dark colored urine. Past medical history includes obesity and hypothyroidism. She has allergy to bactrim (reaction hives). Past surgical history includes a c-section. She takes levothyroxine and has a mirena iud. She denies dysuria and is in a monogomous relationship with her husband […]

A fifty-six-year-old female presents to the clinic for her annual wellness exam. She states that overall she feels well; only occasionally she feels that her blood pressure may be a little higher than normal as she experiences headaches frequently. Dr. Boone examines the patient’s chart noting a history of congestive heart failure, and diabetes mellitus […]

A 25-year-old female, pregnant with her first child, has access to enriched cereals and breads with folic acid as an approach to reduce her risk of having a child with a major birth defect, spina bifida. Which type of essential service most supported this approach to prevention? A. Monitoring of the problem B. Development of […]

A 78-year old woman comes to the office with her husband, who notes that she has had an increase in aggressive behavior, delusions, and confusion over the past 2 weeks. Additionally, she is complaining her mouth is dry. She strains to pass hard stools. History is significant for hypertension, depression, osteoarthritis, probable Alzheimer’s disease, and […]

An 82-year-old man presents for follow-up on his type 2 diabetes and hypertension. His medications include losartan, metformin, glipizide, and baby aspirin. His recent hemoglobin A1C level was 7.2%, and his blood pressure measurement today is 138/84 mm Hg. While in the office, he reports that he has had a change in his vision and […]

A 70-year-old white female (Mrs. Collins) comes to the office today as an add-on urgent visit. She reports “not feeling well” over the past couple of days with feelings of fatigue, fever, and having a bad headache. The onset of headache was 2 days ago, is not letting up, and last night it was difficult […]

A 65-year-old male is brought to the emergency department complaining of chest discomfort. His father and brother have coronary artery disease and the patient has a history of hypertension, hyperlipidemia, and type II diabetes. He weighs 298 pounds and is 5 feet 10 inches with a BMI of 42.8, which is considered obese. He smokes […]

Question at position 5 A 71-year-old female presents to the emergency department via EMS with pain in her upper back and shoulders that started 2 hours ago. She has been experiencing nausea, dizziness, shortness of breath, and diaphoresis. She reports that she has had more frequent indigestion over the past week and has been unusually […]

Samuel is a freshman with a diagnosis of bipolar disorder who has qualified for special education services under the disability category, emotional disturbance. He has medication ordered to be taken at school, which he often forgets or refuses to take. He has exhibited aggressive and threatening behavior resulting in his missing several days. Samuel is […]

Mr. Craig is a 61 year-old male with a history of hyperlipidemia, coronary artery disease, and tobacco use. He began smoking at age 15 and averages approximately 1-2 packs of cigarettes per day. He has a family history of diabetes, cancer, and cardiovascular disease. Mr. Craig’s father had a quadruple CABG at the age of […]