Chronic Kidney Disease A 49-year-old active male works at a large manufacturing plant. Recently he has begun to tire more easily, has little appetite, has unintentionally lost 5% of his normal body weight, and generally feels ill most of the time. He recently noticed some ankle swelling and blood in his urine. At his partner’s […]

Mrs. Bedsore, an 80 year old female in a long-term care facility, develops a pressure ulcer on her sacrum that doesn’t seem to be healing. Which of the following BEST describes potential nutritional causes of her poor wound healing? calcium and vitamin C deficiencies, and lack of physical activity zinc and vitamin D deficiencies, and […]

A 28-year-old female has been having severe side pain, nausea, and blood in her urine caused by a kidney stone. She has no previous medical history and does not take any medications. She mentions that she has been taking 3000 mg of vitamin C every day to avoid getting COVID-19. A diet analysis indicated that […]

You perform a nutrition focused physical assessment on Mr. Louis, a 72 yo male with who has suffers from Alzheimers disease. You examine that he has very little space between the folds of skin on his arms when pinching, no swelling, he has lost 8% of his usual weight in the last 3 months, he […]

Ms. Chang reviews statistical data for the region. After analyzing the data, she notes that fewer people were screened for early lung cancer detection during the period (a 15% decrease from 2019), unhealthy behaviors (such as smoking and weight gain) have increased in the population over the time period, and the number of people accessing […]

Timmy, an 8-year-old, presents for a well check. When interviewing the patient and mother, the mother responds that “Timmy has accidents at night (about 4-5 times per week). He is hesitant to go to sleepovers because he doesn’t want to be embarrassed. My friend who is a nurse recommended DDAVP or a bed alarm. What […]

Jean is a social worker. She uses a computer for client notes and evaluation. Using the computer consists of 40% of her day. Jean is right-handed and is experiencing symptoms of carpal tunnel syndrome in this hand. What other interventions would be good for Jean to trial? Check all that apply (3 choices are correct): […]

A 69-year-old man is brought by his son to the emergency department with weakness of his right arm and leg. The man insists that he is fine and blames his son for “creating panic”. Four hours earlier the man was having tea with his wife when he suddenly dropped his teacup. He has had difficulty […]

A 38-year-old woman presents to a physician’s office for progressive weakness and pallor over the last few weeks. She also complains of shortness of breath during her yoga class. She denies fever, cough, rhinorrhea, or changes in appetite or bowel and bladder habits. She is generally healthy except for an occasional migraine, relieved by acetaminophen. […]

Microbiology: A 40-year-old male called 911 stating that he was having difficulty breathing and felt too nauseated to drive himself to the hospital. He said he had type I diabetes and had not been able to afford insulin on a consistent basis, especially over the past week, since he lost his job. Fortunately, the emergency […]