A 43-year-old man is seen in the sexual health clinic for evaluation after a recent sexual contact was diagnosed with syphilis. This man has a prior history of injection drug use but has not injected drugs for more than 5 years. He has avoided medical care and has never had testing for HIV or hepatitis […]

A 32-year-old woman is seen for a follow-up visit with her primary care medical provider for management of recently diagnosed genital herpes. Routine screening laboratory studies show a negative HIV-1/2 antigen-antibody test, a negative hepatitis B surface antigen (HBsAg), a positive anti-HCV, and a positive HCV RNA. When given the results, she discloses a brief […]

A 41-year-old man without significant medical history presents with a cough that began 1 week ago and has not gotten worse. He reports rhinorrhea and mild nasal congestion associated with the cough, but he denies having fevers or chills. The patient reports having these symptoms around this time every year for the past 7 years. […]

A 30-year-old nurse working in a sexual health clinic is evaluated after he experienced a needlestick injury when drawing blood from a patient in the clinic. The nurse immediately and thoroughly washed the wound with soap and water. The source individual undergoes testing with the following results: HIV-1/2 antigen-antibody immunoassay negative, hepatitis B surface antigen […]

A 22-year-old has nasal congestion, runny nose and post nasal drip. The symptoms recur each year in the spring. There is no facial pain/pressure, mucopurulent nasal discharge, or epistaxis. On exam, there is bilateral clear rhinorrhea with boggy, pale mucosa of the nasal cavities. The patient has a history of mild asthma. Skin prick testing […]

A 9-year-old girl was recently seen in a pediatric office and was evaluated for suspected sexual abuse. Based on the initial interview, it is most likely the sexual offender is an adult male family acquaintance. Initial laboratory testing is negative for syphilis, gonorrhea, chlamydia, and HIV. As part of the evaluation and management of this […]

A 20-year-old friend told you her blood pressure was 110/70 during her last health physical. Based on what she told you, what do you know about her blood pressure reading? Select the three correct answers from the choices below. Multiple select question. Her total blood pressure was 180. She had a high blood pressure reading […]

A 48-year-old female patient has breast carcinoma and presents to the hospital outpatient unit complaining of low energy. The physician orders hemoglobin and hemocrit counts, which were performed. After evaluation, it is determined the patient has anemia in neoplastic disease. The physician orders 3 units of packed red blood cells, which are transfused on the […]

Jenny a 20 y/o female comes to the clinic in April for tearing eyes, runny nose, and allergic shiners. During the physical exam the NP notes that she has pale blue and swollen turbinates’ and is constantly performing the “allergic salute”. The differentials for Jenny’s condition would include which of the following? Group of answer […]

Jose is a 55-year-old truck driver being evaluated for his commercial driver’s license. He has a known history of diabetes mellitus type II. Current medications include Metformin 1000 mg Bid, Glipizide 20 mg po daily. Diltiazem 120 mg po BID. He is allergic to sulfa. Lab results show a fasting blood glucose of 325 mg/dL, […]