The Jehovah’s Witness Who Refused Blood Products Mrs. Lyons was a 27-year-old woman who had recently given premature birth to a set of twins. The infants were doing well, but Mrs. Lyons suffered hemorrhage and required emergency surgery resulting in a hysterectomy. Severe loss of blood dropped her hemoglobin to 6.0 gm/dl. Because the patient […]

A 64-year-old male patient arrives at the hospital with acute renal failure (unspecified). The IV team is unable to gain access, so the surgical resident is called to obtain vascular access. The resident places a non-tunneled centrally inserted central venous catheter in the patient’s right subclavian vein. Code the diagnosis and procedure for this scenario

Dr. A requested that Dr. B perform a consultation on his patient for a skin condition. The patient reported to Dr. B’s office, and he had never been there before. Dr. B performed a detailed examination, a comprehensive history, and his decision-making involved minimal diagnosis options, minimal data, and minimal risk. Dr. B diagnosed the […]

Your neighbor has a 2-month-old daughter. He is concerned that she’s not reaching for toys as well as she used to when she was a newborn. What would you tell him? He should take her to a doctor. When babies lose a skill in the first 3 months of life, it is usually a sign […]

A 55 year old female presents to the outpatient clinic at the hospital for a follow up after her recent hospitalization for a hyperglycemia episode secondary to a UTI which was treated in the hospital, CKD. She has completed her antibiotic and is here for a recheck U/A. The patient reports that she thought that […]

A 19 year old female college student presents with a chief complaint of sleep disruption, intermittent headaches, and fatigue for the last 2 months. Which of the following is the least appropriate for the provider to perform during this clinical visit? Group of answer choices Complete physical exam Depression screening Detailed personal and social history […]

  Ryan, a 6 year-old male, was present in the emergency room with a four-day history of bloody diarrhea, thrombocytopenia, anemia, and elevated BUN and creatinine. On admission, significant laboratory findings include: Hb 10.5 g/dL Hct 31.6 % Platelets 45 × 109/L BUN 43 mg/dL Creatinine 2.46 mg/dL Lactate dehydrogenase 5455 U/L A stool culture […]

Xin is a 58-year-old Asian who is a mechanical engineer at a large telecom company. They visited the physician because a week ago they noticed dark colored lesions on the inner thighs, which have increased in number and size. For the last three months they have been feeling weaker and more fatigued than usual; with […]

Sarah, a 58-year-old female, has been having issues with her vision for awhile. When she finally went to an opthamologist, she was diagnosed with age-related dry macular degeneration. What can be done to treat Sarah’s condition? Group of answer choices She can take daily antioxidant supplements to try to slow the progression of the disease. […]

  A 45-year-old female (Ht.: 6’0″ Wt.: 230 lbs.) was diagnosed with congestive heart failure. She has a history of coronary heart disease, hypertension, and used to smoke 2 packs of cigarettes daily. She experiences shortness of breath, making it difficult for her to eat. She consumes approximately 50% of her estimated needs and has […]