Question: A 24-year-old male presents for evaluation of scaly pink plaques on his trunk. He says that he initially had a large lesion. Your initial thought is pityriasis rosea. Remembering the differential diagnosis of PR you decide to take a more detailed history. He reveals that he recently went on a hunting trip to Pennsylvania […]

Your 52-year-old patient presents to clinic for a yearly physical exam. She has been on combined oral contraceptives since her thirties and asks your opinion about this medication. What is the most appropriate response? “We should continue your combined oral contraceptives because it protects against breast cancer.” “We should continue your combined oral contraceptives because […]

Betty Jones, 86 years old, had a medical history of depression, DM2- Diabetes now requiring a daily dose of Insulin, and Glaucoma, have nil allergies and is admitted for BGL stabilisation and acopia. Currently taking medications Metformin 500mg bd, Lantus 18 units mane, Trusopt 20mg/ml Rt eye, sertraline 100mg Daily and PRN medications Movicol mane […]

A patient’s mother was in the elevator at the hospital with two nurses and overheard the nurses talking about a patient’s diagnosis and care. The mother recognized that the nurses were discussing her child and stated, “You nurses should not be talking like this in the elevator, that is my child you are talking about. […]

Maria Cappella is an 18-year-old female who dropped out of high school, is pregnant and was using ice with her ex-boyfriend. She attended First Access for the first time just over two months ago. She has progressed well so far and has not used drugs since beginning work with First Access. She is now employed […]

A patient with a history of domestic violence is discharged from the hospital. What should be included in the nurse’s discharge teaching? Select one: • a. Instructing the patient to return to the abusive environment and reconcile with the abuser b. Providing the patient with a safety plan and emergency contact numbers c. Recommending the […]

This is a 38-year-old female that states approximately 2 days ago she woke up with weakness in her right leg and no feeling below her knee. The patient states she is able to wiggle her toes, but not able to bear weight to use her leg. She states she can feel essentially nothing below her […]

Which of the following developmental milestones should a 2-year-old child be able to accomplish? A. Identify age and gender B. Ride a tricycle C. Copy a square D. Copy a circleAfter the clinician has completed a psychiatric evaluation and organized the information in a biopsychosocial formulation, what is the best way to present the findings […]

The father of a 15-year-old patient reports that the patient suddenly started having severe paranoia, talking really fast, had trouble expressing words, and has not able to sleep for the past 24 hours. Furthermore, the patient has been very hyper, pacing, and very disorientated. The father states that patient has never had any of these […]

A 32-year-old African American woman with no significant past medical history has been referred to a pulmonologist; she presents with a 2-month history of progressive dyspnea. She notes associated low-grade fever, malaise, joint pain, and swollen neck glands. She denies a history of travel, cigarette smoking, drug use, or sexually transmitted diseases (she has not […]