A 65-year-old man with a history of type 2 diabetes mellitus and hypertension presents to the community clinic with concerns for fatigue, lightheadedness, and difficulty breathing. He is currently taking lisinopril 20 mg daily, metoprolol succinate 50 mg BID, and metformin 1,000 mg BID. He reports that these symptoms began 2 days ago and worsen […]

A 20-year-old patient presents to the clinic and reports anhedonia for 1 month. The patient reports the activities that they usually enjoy are not fun anymore. They also report hypersomnia, fatigue, weight gain, and difficulty concentrating. The symptoms are present most days of the week. The nurse practitioner decides to start the patient on a […]

A 48-year-old woman with a history of stage 3 chronic kidney disease and dyslipidemia presents for a follow-up. Her medications include pravastatin, coenzyme Q10 (CoQ10), vitamin D, and low-dose aspirin. Her initial BP is 128/76 mm Hg, and a repeat blood pressure after 5 minutes of quiet rest is 126/78 mm Hg. Results from a […]

A 24-year-old patient presents to the clinic at the request of their family. Their parent reports that they have caught their child purging after several meals recently. The patient sometimes eats two large pizzas and a gallon of ice cream in one sitting, purges, and then later feels shame and guilt. They have been engaging […]

A 36-year-old patient presents to the outpatient clinic for an annual physical and reports new-onset intermittent headaches that have been ongoing for the past month. Despite normal laboratory studies, CT, MRI, and EEG, the patient insists that part of their brain is rotting and is frustrated that no one believes them. They report no constitutional […]

A nurse practitioner in an outpatient clinic is evaluating an 84-year-old patient whose spouse passed away from pancreatic cancer a month ago. They had been married for 63 years. The patient tells the nurse practitioner they have thoughts “many times” throughout the day that they “want to join their spouse in heaven.” The patient has […]

JP is a 73 year-old female who is 5’6″ and 197lbs and has past medical history of CKD on hemodialysis. Pharmacy has been consulted to dose vancomycin for a suspected central line infection. Which of the following statements regarding a loading dose is accurate? A. A loading dose is not recommended B. A loading dose […]

A 35-year-old patient is seen for ongoing care in an outpatient psychiatric clinic for worsening and constant worry, fatigue, irritability, jitteriness, restlessness, and difficulty falling asleep. The patient has felt this way since childhood, and their symptoms have worsened over the past 8 months since their partner became pregnant. The patient worries about the health […]

A nurse practitioner is completing a follow-up examination of a 29-year-old patient who has been diagnosed with bipolar II disorder and is taking lurasidone (Latuda). The patient usually takes their lurasidone (Latuda) in the late afternoon or early evening. The patient is a practicing Muslim, and Ramadan will begin within the next 2 weeks. What […]

Mr. D is a 50-year-old male who is brought to the hospital after being involved in a minor car collision. Upon examination, Mr. D does not exhibit any physical injuries from the crash. His skin is flushed and he is diaphoretic, he complains of an upset stomach, and he is shaking. Vital signs:HR: 122 bpm; […]