Christopher, a 10-year-old male, was diagnosed with ADHD 1 year ago and has been taking Ritalin LA 20 mg PO QD. He is doing well on the medication, has improved in school, his behavior has improved at home, but he does not have much of an appetite. They were talking to another parent who is […]

Mrs. T. is a 73-year-old female transferred to the Medical ICU from an outside hospital. Three weeks prior to admission, Mrs. T. was found to have a femur fracture which was deemed to be non-operable, and a knee brace was prescribed. She then developed respiratory distress and signs of sepsis and was transferred to your […]

A middle aged adult patient with a history of recurrent respiratory infections presents with chronic cough , excessive sputum production and hemopytiss . phyical examinatin reveals coarse crackles on ausculatin, an da chest CT scan shows dialted bronchi with thickened walls and mucous plugging. which of the followng best decirbs the likel diagnosis? a) Bronchiolitis […]

A 72-year-old patient presents at a rural health clinic and reports the death of their spouse > 2 years ago. The patient reports having difficulty thinking of anything other than their former spouse. The patient often feels very angry, lonely, and numb. Life frequently feels meaningless, and the patient is having difficulty participating in their […]

A 22-year-old patient is in outpatient treatment for anxiety related to school performance. The patient comes from a strict family and was harshly criticized by their parents and punished if they did not make straight As. The patient is now reluctant to take upper-level college courses and is considering dropping out. This session is the […]

A 75-year-old man is admitted to the hospital with community-acquired pneumonia. During his hospitalization, he begins to see vivid hallucinations, has increasingly impaired attention, and becomes progressively confused. He subsequently punches a nurse in his hospital room. His mental status is notable for being oriented to place but not time. He is unable to spell […]

A 40-year-old patient presents to the psychiatric clinic with reports of worsening anxiety and frequent panic attacks. The patient’s medical records include multiple visits to various urgent cares and an increasing dose of benzodiazepines. The nurse practitioner considers possible malingering based on the patient’s inconsistent symptomatic presentation and their requests for dose increases. Which of […]

A 40-year-old patient presents to the psychiatric clinic with reports of worsening anxiety and frequent panic attacks. The patient’s medical records include multiple visits to various urgent cares and an increasing dose of benzodiazepines. The nurse practitioner considers possible malingering based on the patient’s inconsistent symptomatic presentation and their requests for dose increases. Which of […]

A 45-year-old patient with a history of alcohol use disorder is admitted to the ED for alcohol use. Upon physical assessment, they report mild nausea but is not vomiting, is visibly shaking with noticeable tremors, appears to be drenched in sweat, is agitated and anxious, and reports a painful headache. Their Clinical Institute Withdrawal Assessment […]

A 32-year-old patient, who recently immigrated from Mexico, presents at a health center for rural farm workers and reports difficulty sleeping, sadness, poor appetite, cold sweats, and low self-worth for the past 3 weeks. These symptoms started after the patient saw farming equipment severely injure another worker. The patient states that this frightening event caused […]