Ralph is a 50-year-old cisgender man with a past medical history of HIV currently treated with abacavir/dolutegravir/lamivudine (ABC/DTG/3TC). His last CD4 count was 480 cells/mm3, and his last viral load was undetectable about 3 months ago. Last year, he was diagnosed with herpes simplex virus-2 (HSV-2) after noting painful penile lesions. He took valacyclovir 1 […]

: BG is a 33-year-old male diagnosed with CD a year ago. He presents to your clinic to establish himself as a new patient, having just moved to the state for work. His medical records have been sent to your clinic. What specific questions will you ask BG about his health history, allergies, and diagnostic […]

67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area was […]

Ariel, a 25-year-old woman who works in the lab with you has severe rheumatoid arthritis and is receiving anti-TNF monoclonal antibody therapy to immunosuppress her autoimmune response. Unfortunately, this therapy causes generalized immunosuppression. Ariel was gardening on Saturday and cleaned up the very back part of her yard that contained rotting apples and leaves that […]

DM is an 8-year-old boy who presents today with his mother for a psychiatric evaluation. The Patient was referred by PCP as current meds do not manage his ADHD symptoms. Per the mother, the patient continues to have difficulty sitting still, struggles with homework, gets easily frustrated, yells and screams at home, and can be […]

The patient is a 41 year old Type 2 diabetic patient who has been treated with corticosteroids for severe inflammatory bowel disease (IBD) for the past few months. Recently he has had a “normal” fasting blood glucose levels, but progressively elevated pre-lunch and pre-dinner glucose levels. Which of the following would be the most appropriate […]

60 year old woman with T2DM follow-up visit. Regimen: NPH 14 units QAM and 10 units QPM, and lispro 8 units TID AC Pre-prandial: SMBG 3x/day Date Breakfast Lunch Dinner Mon 270 120 90 Tue 246 128 110 Wed 260 118 118 Thurs 268 100 98 Fri 290 132 120 Sat 242 124 88 Sun […]

Mrs. Villarreal (79) drives her husband, Francisco (82), to the hospital after demonstrating an inability to speak, difficulty breathing and grabbing his chest. Mr. Villarreal dies at the hospital of a massive heart attack. Mrs. Villarreal is frantic, begins wailing, and throws herself to the floor asking God, “why?” The social worker is called to […]

52 year old female diagnosed with T2DM 6 years ago. At diagnosis: A1C = 10.1%, Wt = 180 lbs, Ht = 5’5″ BMI = 30 Current regimen: Max dose metformin & glipizide Recent labs: A1C: 8.8%; FBG: average of 210 mg/dL What basal insulin and dose should be initiated? 52 year old female diagnosed with […]

  0 year old male diagnosed with T2DM 8 years ago. At diagnosis: A1C = 13.3%, Wt = 310 lbs, Ht = 6’0″ BMI = 42 Current regimen: Max dose metformin & glipizide Recent labs: A1C: 11.5%; FBG: averages 260 mg/dL What basal insulin and dose should be initiated? 60 year old male diagnosed with […]