Tula Stillwater Tula Stillwater is 36 years old and has had diabetes since age 26. Ms. Stillwater weighs 218 lb, is gravida 1 para 1, and delivered a 9 lb, 6 oz boy via cesarean section 3 days ago, resulting in a transverse abdominal incision with staples. She reports tenderness on the right side of […]

A nurse is caring for a 42-year-old unmarried client with a history of depression and obsessive-compulsive disorder who presents to the clinic for a rash on his hands from excessive and ritualistic hand washing. The client recently lost his job because he “didn’t fit in.” He is considering moving in with his mother and does […]

Mary (28 years old) comes to see the PMHNP and says, “I need a new provider!” She has a history of panic, depression, and anxiety. She recently became upset with her boyfriend whom she thought was making negative statements about her, at which time, she went in the bedroom and began scratching her arms with […]

A 19-year-old male is involved the driver in a motor vehicle accident that resulted in loss of large amounts of blood. He was conscious and moving all extremities when first responders arrive on the scene. The air bag had deployed. They started IV fluids on the scene, and they evaluated his ventilation and provided oxygen […]

A 25 year old woman with congenital nipple inversion presents with a 5 day history of redness and swelling associated with pain in her left breast. You are concerned about a diagnosis of periductal mastitis. Which of the following is a predisposing factor for periductal mastitis? A 25 year old woman with congenital nipple inversion […]

A 48-year-old client complains of spontaneous discharge of milk from both breasts. She says she is taking valsartan for her blood pressure and bupropion Hcl for depression. A pregnancy test comes back negative, and her prolactin level is 14 ng/mL. What condition does this patient most likely have? A 48-year-old client complains of spontaneous discharge […]

E. L. is a 9-year-old female who presents to your office about a rash noted on her face. It was first noticed about two months ago, but seems to wax and wane in severity, and often is not noticeable. Her parents aren’t too concerned about it, but thought since it just never went away, they […]

Alice is 17 years old and presents to the clinic with complaints of pimples on her face, back and chest. She has tried many OTC medications and none have seemed to help. Alice reports that she is embarrassed with all the pimples so she washes her fact 5-6 times a day which seems to dry […]

A 2-year-old boy was examined by a surgeon on duty for an infringement of an inguinal hernia for 30 hours. The surgeon had an operation during which the hemial protrusion settled on its own. Then the plastic of the inguinal canal was performed according to the Martynovs. 1. What is the doctor’s mistake? 2. What […]

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, […]