A 68-year-old woman presents to the provider for headaches and pain with chewing. She has a history of hypertension that is well controlled with lisinopril. She denies any tobacco use. Her blood pressure is 128/84 mm Hg, her pulse is 86/min, and her respiratory rate is 12/min. Physical exam reveals a tender and prominent left […]

A 49-year-old man presents to the clinic because of a sore throat, swollen glands, achy joints, headache, diarrhea, and fever for 3 weeks. The patient reports no chronic medical problems, no travel, and no recent sick exposures. He says he has had unprotected sex with several sex workers (both men and women) in the past […]

A 27-year-old woman who resides in an area endemic to chloroquine-resistant Plasmodium falciparum malaria presents to the physician with fatigue, malaise, and episodes of fever with chills over the past 5 days. She mentions that she has episodes of shivering and chills on alternate days that last for about 2 hours, followed by high-grade fevers. […]

A 40-years-old man lost consciousness on the street. In the admission department of the hospital, where he was taken, the patient was conscious; the skin was pale and moist. The heart borders are unchanged; the sounds are normal, pulse is 96 bpm, small, and soft. BP is 90/60 mm Hg. ECG: I, AVL, V4-V6 leads […]

In a 45-year-old man, during a medical checkup on the ECG revealed Q waves with a duration of 0.04 s and an amplitude of 1/3 of the R wave in II, III, aVF leads. ST segment was detected on baseline. The patient has no complaints; borders and melody of heart are not changed. What is […]

A 65-year-old woman with overweight suddenly developed an attack of pressing pain in the chest, mainly behind the sternum, radiating to both shoulders, aggravated by physical exertion lasting for 2 hours. Heart auscultation: soft sounds, rhythmic. Pulse is 92 bpm, satisfactory filling and tension; BP is 160/90 mm Hg. What is your diagnostic assumption? A.Intercostal […]

A 22-year-old female presents to an urgent care clinic for evaluation of loose bowel movements that she developed after returning from her honeymoon in Mexico last week. She has had watery stools for the past 5 days at least 3 times per day. She now has abdominal cramps as well. She has no significant past […]

A 29-year-old woman presents with a skin rash that has spread on her arm over the last few days. She also complains of fever, headache, joint pain, and stiffness of the neck associated with the onset of the rash. On physical examination, there is an annular, red rash with a clear area in the center […]

The student nurse is providing preoperative care to a 9-year-old client scheduled for an appendectomy. Which action by the student will cause the registered nurse to intervene? Provides the child with the opportunity to see and touch intravenous equipment. Delays preoperative teaching until immediately before the procedure. Allows the child to select which arm will […]

A 45-year-old woman presents to the office with a chief complaint of a persistent cough for 6 weeks. She also has night sweats and has lost 5 kg (11 lb) in the last 2 months. She recently returned from a 6-month trip to Peru. Her vitals include: heart rate 82/min, respiratory rate 17/min, temperature 38.0°C […]