Brendan’s physician has suggested that hospice may be a good option for him to consider, but Brendan is unsure about what hospice is. Which statement about hospice is NOT true? a. One major goal is to help people who are dying be as free as possible from disabling pain and mental anguish. b. Hospice programs […]

Sarah, a dedicated and experienced nurse, was working the night shift at a busy urban hospital. One night, a distressed family member became agitated and aggressive after receiving difficult news about their loved one’s condition. Despite Sarah’s attempts to calm the situation and provide support, the family member lashed out verbally and physically. In the […]

A 28-year-old student presents with “hacking cough.” Productive with small amounts of sputum, and runny nose. Doesn’t take any meds, no allergies, no significant past medical history. Temp: 99.9F, Resp: 16/min, HR: 90 BPM, diffuse fine crackles. Chest X-Ray shows diffuse infiltrates in the lower lobe of the right lung. CBC shows WBC count 10,500. […]

A 52-year-old man comes to the physician because of scrotal swelling. He also says that he has occasional urinary urgency and difficulty completely emptying his bladder. The patient is a former weightlifter, and acknowledges previous steroid use and occasional binge-drinking. Physical examination shows an enlarged prostate and a reducible scrotal mass. A few days later, […]

Dr. Mitchell Heflin, Chief of Geriatrics, followed the starting work-up. During the physical exam that Dr. Heflin conducted by Dr. Heflin, the doctor could not assess the patient’s orofarynx since Mr. Powers could not hold his mouth open. During the Cardiovascular examination, tachycerdia and a slight systolic murmur was heard. While no adema was felt, […]

A baby is born at 39 weeks’ gestation to a mother who is G3P2 with gestational diabetes. The patient’s amniotic fluid is greenish brown and fetid smelling. How many NRP providers should be available at the delivery to manage the care of the baby? What are the initial steps of resuscitation that the NRP provider […]

A 51-year-old man was taken to his physician’s office with a one-week history of fever, headache, and muscle aches. He had an ulcer on his right hand that had not healed and pain in his right armpit. He lived in Oklahoma and makes a living as a trapper, supplying furs to fashion designers in New […]

Ethical Delima A 17 year-old, Michael, has been diagnosed with a sexually transmitted infection (STI). Although the doctor examined Michael and told him about his diagnosis privately, Michael’s mother is in the waiting room and wants to know what the doctor said. The patient has told you that he does not want anyone to know […]

75-year-old male with a long history of smoking is found to have painless gross hematuria. All of his labs are otherwise normal. What would NOT be a reasonable next step in this patient’s evaluation? 75-year-old male with a long history of smoking is found to have painless gross hematuria. All of his labs are otherwise […]

Mr. Droopy is a 61-year old male admitted to your medicine unit for a left-sided ischemic stroke. He has a history of high blood pressure (190/110 on admission). He was given tPA in the ER yesterday, which resolved some of his neurologic symptoms. He continues to have slurred speech and a left sided facial droop. […]