You examine a 3-year-old girl for possible drowning. She was unsupervised for a few minutes, and her parent later found her by the pool. She called 9-1-1, and CPR was performed for 5 minutes. Upon arrival in the emergency department, she is unresponsive and immediately intubated. Her blood pressure is 70/50 mm Hg, heart rate […]

An 82-year-old man with a 40 pack-year smoking history presents to his primary care provider’s office with a complaint of urinary incontinence. The patient states he has been in his normal state of health but has been experiencing urinary incontinence for the past several months. The patient reports frequency, urgency, and hesitancy but no dysuria. […]

A 75-year-old man with congestive heart failure has been living in a long-term care facility for the past 2 years. His wife, who previously lived with him, passed away 2 months ago after an extended battle with breast cancer. The nurses report that he is getting around slower than usual, speaking slowly, and seems to […]

A 2-year-old girl presents to the clinic with nasal congestion, cough, and hoarseness for most of the day. Earlier this evening, she was fussy, and her caregiver reports that the sound of her cough changed. Vital signs are a BP of 102/60 mm Hg, HR of 140 bpm, RR of 42/min, and T of 100.9°F. […]

A 55-year-old woman presents for her well exam. She has a history of hypertension, obesity, depression, sarcoidosis, rheumatoid arthritis, and migraine headaches. Her blood pressure today is 136/84 mm Hg. Her medications include losartan, citalopram, methotrexate, sumatriptan, and acetaminophen. Her labs completed a few days ago included a complete metabolic panel, liver function tests, and […]

A 66-year-old woman presents to the clinic for a diabetes screening test. She has been feeling a little fatigued, but otherwise well. She reports no other symptoms. Her past medical history is negative for diabetes mellitus, gestational diabetes, cardiovascular disease, hypertension, polycystic ovarian syndrome, or other endocrinopathies. Her family history is negative for diabetes. The […]

A 16-year-old teenager, who has a profound hearing loss, is on your caseload. She has been wearing hearing aids since she was 2 years old but doesn’t want to use an FM system anymore. Regarding assistive devices, the best course of action would be: Group of answer choices A. She needs to be made to […]

A 4-month-old infant presents with erythematous plaques to the bilateral cheeks that have been worsening over the past 3 weeks. His parents report no new medications and he is still exclusively breastfed, but they did start using a new laundry detergent 1 month ago. Similar plaques are noted over both elbow extensors. He has been […]

A skilled nursing facility has recently seen an increase in falls within the older population, especially in patients older than 80 years. A nurse practitioner is charged with formulating a plan to reduce the number of falls. After conducting a chart review, the nurse practitioner discovers the majority of the patients have at least 15 […]

A 76-year-old woman with a history of a left-sided perforated tympanic membrane presents to the nurse practitioner with a gradual onset of right-sided diminished hearing, dizziness, tinnitus, and frequently losing her balance. She reports no fevers, upper respiratory symptoms, or otalgia. Physical exam reveals sensorineural hearing loss with a normal and intact tympanic membrane. Which […]