A 14-year-old girl presents to the clinic as a new patient for a well-child visit. Her mother reports that she fears her daughter has become sexually active. Which of the following would be an effective interviewing technique to utilize with this patient? Ask closed-ended questions that are easy to understand Ask the patient’s mother to […]

A 42-year-old man has been living in the United States for 6 years after migrating from Somalia. His medical history includes treatment for latent tuberculosis. He takes no routine medications and has no allergies. He presents to the clinic with complaints of nausea, stomach burning, bloating, and burping. He states he has had the issues […]

A 68-year-old Vietnamese speaking woman presents to the clinic for a problem visit. The office has arranged for an interpreter to attend this visit, but her daughter, who speaks Vietnamese and English proficiently, is also present. In a cross-cultural interview, which of the following guidelines should be used? Address and make eye contact with the […]

A 61-year-old woman presents to the clinic for a colposcopy following an abnormal Pap smear. The clinic has a consent form for this procedure. Which of the following conditions must be met to fulfill legal requirements for informed consent? Every possible complication of the procedure is explained She must be able to tell you the […]

A 10-year-old boy has recently moved to the United States from India with his mother. He previously received the Bacille Calmette-Guerin (BCG) immunization. He denies cough, fever, or weight loss. A tuberculin skin test is placed. 48 hours later, the area of induration at the injection site measures 10 mm in diameter. Which of the […]

A 56-year-old man presents to your office for his annual physical. He has a 10-year history of well-controlled hypertension and hyperlipidemia and reports a 16-year history of smoking two packs per day. He reports no daily alcohol use. His medications include daily lisinopril, atorvastatin, and a low-dose aspirin. He has no pertinent family history, and […]

82-year-old male presenting with cognitive decline. He had always been a very active individual. Over the past year, he has become less active in the community. Previously, he played cribbage weekly with friends at the local senior center but has been struggling with the math involved with the game and no longer attends the weekly […]

A 12-year-old boy presents for his routine well examination. While examining him, you note enlargement in his testes and scrotum, with subtle changes in scrotal texture. He also has sparse pubic hair growth at the base of the penis. Which of the following is the appropriate assessment and plan for this patient? Tanner stage 2; […]

A 68 year-old patient is being seen for the first time for a left leg wound. Patient states the wound appeared about five weeks ago. The wound was small and he was covering it daily with a pad dressing thinking it was going to heal. He has a history of venous insufficiency and does not […]

A 5-month-old female infant presents to the clinic for increased irritability, drooling, and an elevated temperature reported by the mother. The infant has a temperature of 99.2°F in the office, and the clinician notes the bilateral tympanic membranes to be intact and pearly grey. However, the infant’s gums appear red and swollen. Which of the […]