A 6 – month – old infant presents with recurrent infections, facial abnormalities, and a history of hypocalcemic seizures. Based on the clinical presentation, the pediatrician suspects DiGeorge syndrome. DiGeorge syndrome is associated with developmental issues in which of the following embryonic structures? First and second branchial pouches Third and fourth branchial pouches Fifth and […]

Frankie is a 22-month-old boy with the following medical history: He was born full-term. Parents report a history of spitting up since birth. This worsened over time, and he had vomiting multiple times per day for the first 6 months of life. He was diagnosed with gastroesophageal reflux and placed on reflux medication at 6 […]

A 26-year-old patient with a history of schizophrenia is brought to the hospital by ambulance after they intentionally overdosed on their antipsychotic medication at a shelter for people experiencing homelessness. They were found with an empty bottle in the bathroom and were vomiting. During the interview, the patient tells the nurse practitioner they were raped […]

A 37-year-old patient presents to the clinic and reports difficulty falling asleep and daytime fatigue. The patient reports that insomnia started approximately 6 months ago, when they initiated divorce proceedings. They have no underlying health conditions. The sleep issues have gradually worsened, and the patient finds themself worrying daily about whether or not they will […]

A 19-year-old patient is brought to the clinic by their sibling. The patient’s college roommate notified the family that the patient had been acting strangely for the past 7 months. The patient is infatuated with a local news reporter, who the patient believed was talking directly to them during their newscast. The patient started writing […]

A 52-year-old patient presents with concerns about mood changes. The patient states they are fatigued, have felt hopeless, and have had difficulty sleeping for the last month. They have lost weight due to a poor appetite and have lost interest in daily activities. The patient has a medical history significant for a seizure disorder and […]

A 67-year-old patient presents to the clinic for an initial visit and reports the death of their spouse. The patient reports four prior intense, but short-lived, marriages. The patient’s children generally refuse contact, citing a history of mental instability and an inability to consistently provide care for others. The patient reports a long history of […]

A 72-year-old patient is seen in the outpatient clinic. The patient reports that their symptoms have been worse over the past month, and they are feeling more hopeless and anhedonic, are sleeping more, have a poor appetite, and are having feelings of shame and guilt for decisions they made in the past. During the interview, […]

A 46-year-old patient has been engaged in interpersonal therapy with the nurse practitioner for the past 6 months. The patient initially presented with anhedonia, irritability, difficulty with interpersonal relationships, poor sleep and appetite, guilt, and hopelessness. The patient was on a performance improvement plan at work due to irritability in interactions with their supervisor and […]

A 48-year-old man presents to the primary care office for a blood pressure follow-up. He was diagnosed with essential hypertension 3 months ago and was prescribed lisinopril 10 mg daily. He reports that, since his last visit, he has decreased his sodium consumption, increased his fruit and vegetable intake, and started walking for 1 hour […]