A 58-year-old female with a history of gastrectomy is seen in her primary care clinic for generalized weakness, fatigue, difficulty walking, and abdominal pain. Lab work shows a macrocytic, normochromic anemia. Which type of anemia is most likely? A 58-year-old female with a history of gastrectomy is seen in her primary care clinic for generalized […]

During clinical this week, my assigned patient was an 85-year-old male that presented with aortic valve stenosis and etiology of cardiac valve disease unspecified. He was admitted to Mercy Fairfield on 06/06 and a transcatheter aortic valve replacement (TAVR) was performed at two groin sites to replace a narrowed aortic valve that fails to open […]

Carl and Layla have Paul stay over and Carl takes the next day off from work to help Paul get things in order. Paul is hesitant at first, but agrees to stay over. Layla goes with Paul to get his things for the night and notices Paul has a great deal of trouble unlocking the […]

Mrs. Tate is a 38-year-old female who presents with c/o dysuria, urgency, and increased frequency of urination for past 2 days. She denies hematuria, flank pain, urinary incontinence, fever/chills, or nausea/vomiting. Denies abdominal pain, but states she feels “pressure” in the suprapubic area for the past 24-hours. States she feels she empties her bladder completely. […]

Jean is a 29 year woman who reports an 8 year history of headache. She experiences unilateral, pulsing headache lasting 6-10 hours, 2-3 times a month. Prior to the headache, Jean feels a gradual onset of paresthesia affecting the ipsilatral face and arm, lasting about 20 minutes. She takes ibuprofen with partial relief. Her neurological […]

An 89-yeqr-old female presents to the office complaining of dizziness. For the past 3 months, about 1 to 2 times per week she gets “dizziness spells” which she claims is near faint but without LOC. Associated symptoms include lightheadness, decreased vision and hearing. Each episode lasts about 2 to 10 min and stops when she […]

A 68 year-old male patient presents for an urgent visit complaining of a sudden onset of being pulled to the left with some associated dizziness described as room spinning 4 hours ago. He also reports nausea but no vomiting, numbness and tingling on the left side of his body. Exam unremarkable except for BP 160/90 […]

A 72 year old male presents with a complaint of dizziness for the past 6 months. It happens while he is walking “as if dizziness attacks” him. He also noted that his handwriting has become smaller in the past 3 months. On the exam he has flat affect with decreased blinking and there is a […]

A 79-year-old client comes to the urgent care clinic complaining of nausea, headache, and muscle cramping. They report working in the garden all afternoon weeding. The client is anxious and pale. The nurse’s first action should be to Group of answer choices encourages the patient to drink 1 liter of water with 2 tablespoons of […]

A 54-year-old woman sees her primary practitioner for a routine, preventative healthcare visit. She has never previously had an HIV test. As part of routine HIV screening, blood is drawn for a laboratory-based HIV-1/2 antigen-antibody immunoassay using the Centers for Disease Control/Association of Public Health Laboratories (CDC/APHL) HIV testing algorithm.