Alray has terminal cancer and is taking potent pain medications in a way that is consistent with the doctor’s orders. However, Alray missed several doses after a family member forgot to refill the prescriptions and began to experience withdrawal symptoms along with uncontrolled pain. What does this suggest? a. Physiological dependence can occur without a […]

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 30 year old woman arrives at the ER with intermittent pain on one side of her fact, near her jaw, brought on when brushing her teeth. She has a history of facial pain buth says that today it was like being stabbed with a dagger over and over for a full minute. She has […]

A 56-year-old man presents for evaluation. He has a family history as well as personal history of alcohol use disorder but his recent drinking status is unclear. He has no history of a psychotic, mood, or anxiety disorder. He does not smoke and he denies use of illicit drugs. Of the following, which is the […]

A 53-year-old man presents for a follow-up visit. He has a 12-year history of type 2 diabetes mellitus that is currently be treated with a maximally-tolerated dose of metformin and a thiazolidinedione. He also has hypertension that is well controlled with a calcium channel blocker. His A1C today is 8.2% and it is decided that […]

A 61-year-old man of Asian descent is being evaluated for his initial visit at the clinic. The NP asks if he had ever been diagnosed for hypertension. He replies that his previous provider mentioned that his blood pressure was a little high, but he started to take St. John’s wort and it “calmed my heart.” […]

 Please answer each question and post it in the discussion group. 1. Emily, a 64-year-old formerly obese woman who successfully lost over 100 pounds, was brought to the hospital suffering pain in her legs, and an X-ray revealed that she had a simple fracture in her right femur and a crack in her left tibia. […]

A 30-year-old woman who is a para 3 (P3), divorced executive presents to your clinic for contraceptive advice. She has been in a monogamous relationship with her boyfriend for several months. She denies any drug allergies. She occasionally drinks alcohol and does not smoke. She mentions that she used to take birth control pills without […]

A 62-year-old male attending physician presents for evaluation of a three-day rash on the right anterior chest wall. The rash is associated with intermittent sharp, lightning-like pain that is not caused or relieved by position or activity and ranks as an 8 on a scale of 10. Past medical history includes tonsillectomy at age three […]

A healthy 21-year-old man presents to a primary care physician to establish care. On examination the following finding is appreciated as shown in the provided picture. He reports a “drooping” of his left eye since birth according to his parents. The remainder of the physical including neurological examination is normal. What is the likely cause […]