John Alexander is an 89-year-old male who is a 10-year resident of a long-term care center. He has not had a bowel movement for 4 days. He states, “I usually have a BM every other day.” Mr. Alexander had a history of bowel surgery in 2005 for a cancerous tumor of the transverse colon. He […]

R.S., 55 years old, recently had a stent placed in a coronary vessel following an episode of chest pain and SOB. Her prescribed meds on discharge included aspirin, warfarin (Coumadin), and clopidogrel (Plavix) daily. What problem would you expect this patient to encounter? Explain the differences in the action of each of these drugs. R.S. […]

Tate Tophus is a 63-year-old white male who presents to your urgent care clinic complaining of severe left foot pain. He reports pain began last night with significant swelling and new-onset redness of his left foot’s metatarsophalangeal joint (MTJ). His symptoms have progressively worsened into the morning hours. Tate states he routinely sees a rheumatologist […]

An 11-month-old boy presents with fever, ear pain, and purulent discharge from both eyes. On examination, bilateral, erythematous, bulging TMs and purulent conjunctivitis are noted. Based on his symptoms and examination, amoxicillin-clavulanate is prescribed. The mother asks what she could do to prevent future ear infections. Which of the following is not one of the […]

Three days after beginning oral amoxicillin therapy for OM, a 4-year-old boy has continued fever, ear pain, and swelling with redness behind his ear. His ear lobe is pushed superiorly and laterally; he has tenderness posterior to the ear. He seems to be doing well otherwise. Which of the following is the most appropriate course […]

Daniel is an oncologist who must discuss the treatment of a tumor he found on his 34-year-old patient’s lung. His patient is newly married, with one child and another baby on the way. Daniel knows that he can’t give a 100 percent prediction of the patient’s outcome with surgery on the tumor, but he must […]

A 16-year-old male with a low-grade fever, and large and painful red sores around his lips is being evaluated at a pediatric clinic. He has a PCR test pending that was swabbed from the sores, as well as a blood culture with Gram stain, and nasopharyngeal specimen for microscopic examination. Analysis of the laboratory samples […]

Gabby suffers from breakouts on her chin and jawline a few times a month. She suffered through acne as a teen, it went away briefly after taking medication from her dermatologist. She waited several years in her adult life to start buying acne products from Target. She has 3 children, and 2 dogs, is married, […]

Bobby is a 10 year old male, with mild-intermittent asthma, with exacerbations that are worse in the Spring during allergy season. He is taking a daily antihistamine, but continues to have intermittent wheezing and shortness of breath. According to the GINA guidelines, what is the best choice of treatment for Bobby? Group of answer choices […]

Julie tells you that her boyfriend was treated 2 days ago for gonorrhea. He told her that she needed to be treated also, as they have been having intercourse and don’t use condoms consistently. What should you do about her exposure to gonorrhea? Group of answer choices Treat for gonorrhea with 500mg Ceftriaxone IM once […]