A 35-year-old patient diagnosed with schizophrenia and anxiety was newly diagnosed with fibromyalgia. They were recently prescribed a medication that increases levels of serotonin and norepinephrine in the brain. They have started to experience side effects of drowsiness, headaches, and nausea. What new medication is this patient likely taking? Aripiprazole (Abilify) Duloxetine (Cymbalta) Escitalopram (Lexapro) […]

A 7-year-old child arrives at the outpatient psychiatric clinic for a medication management appointment. The child is accompanied by a parent. The parent tells the nurse practitioner that they had stopped the stimulant for their child’s attention-deficit/hyperactivity disorder because the medication had caused their child to develop Tourette disorder. The parent is concerned that this […]

A 9-year-old child arrives for outpatient therapy with their parent and older sibling. Throughout the appointment, the patient’s parent repeatedly asks the patient’s older sibling to discuss the patient’s negative behaviors. When the sibling is reluctant to provide information, the parent continues to goad the sibling to discuss the problems that the patient causes in […]

A 10-year-old patient presents to the clinic with a parent who reports frequent fidgeting and an inability to be still. The parent also reports that the patient becomes angry when waiting in line and enjoys boisterous play. Collateral information from a teacher reports that the patient has difficulty remaining seated, talks excessively, interrupts others, and […]

A 70-year-old patient comes to the clinic accompanied by a caregiver. The caregiver reports that the patient started having trouble remembering conversations and losing small objects, such as keys, years ago. The patient is still able to perform most basic activities of daily living, such as eating independently. However, the patient has not been able […]

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? Group of answer choices Thyroid gland Fifth and sixth branchial pouches First and second branchial pouches […]

A 63-year-old female comes to the Urgent Care Center with a chief complaint of cough for two weeks. She describes the cough as non-productive, dry, hacking, and it keeps her up at night. She also describes nasal congestion, an intermittent sore throat, and subjective fever. Her PMH is positive only for iron-deficiency anemia. She is […]

A 43-year-old male client is being evaluated for intractable peptic ulcer disease (PUD). He has a history of recurrent duodenal ulcers. Last night he awakened at 2:00 am and requested an antacid. This morning after breakfast, he passed a large, dark, liquid stool that tests positive for occult blood. Just before receiving his 11:00 am […]

A 28-year-old woman is brought to the clinic by her sister, who is concerned about her recent reckless behavior. The patient has been spending money excessively, acting sexually promiscuous, speaking delusionally, and has not slept for three days. The patient is visibly irritated by her sister’s comments. The patient reports periods of depression in the […]

Ms. Ruby Potts is a 64-year-old Aboriginal woman who has been transferred to Albany for management of complications from her Type 2 diabetes mellitus. On arrival her observations are as follows, T: 37.8 HR: 102, RR: 22, BP: 180/95, SpO2: 95%, BGL: 24 Height: 155cms, Weight: 85kgs. Other relevant medical history includes Angina, with previous […]