Rebecca is a 43-year-old Hispanic female that presents to your clinic as a new patient and a yearly physical exam. She has a history of hypothyroidism that was diagnosed 6 years ago and had previously been treated with levothyroxine. She has been off her medications for 2 years because she did not have insurance. She […]

The patient is a 32-year-old female who presents to the clinic requesting a prescription for birth control. She has been dating the same individual for 4 months and has inconsistently used a condom with intercourse. She describes herself as “healthy.” She admits to drinking “socially” an average of 4 glasses of wine each week. Her […]

Robert is a 14-year-old undergoing a rapid growth spurt who complains of a tender mass over the anterior tubercle of one knee. He says the pain improves with rest and worsens with activities like squatting, kneeling, jumping, and climbing stairs. What does the evidence suggest about the etiology of his condition? How should you manage […]

A 33-year-old woman complains of 7 months of amenorrhea following a spontaneous abortion. She had a suction and sharp dilation and curettage (D&C) at that time. Her past medical and surgical histories are unremarkable. She experienced menarche at age 11 years and notes that her menses have been every 28 to 31 days until recently. […]

Joe Hernandez is a 58-year-old man with known history of HIV diagnosis who has developed AIDS. He was provided with education on the importance of taking his ART but never quite adhered to his medication regimen. His significant other did not remain in the client’s life, and their relationship ended shortly after he revealed to […]

Chief Complaint: A 28-year-old man presents to the urgent care center with a 48-hour complaint of headache and nausea. ROS- The headache is primarily frontal and occipital and associated with mild nausea. He has taken various over-the-counter analgesics without any improvement in his headache. The intensity of the headache has gradually increased since it began, […]

A patient who recently had a C-section was experiencing pain that she rates at 9/10 on your initial assessment. You have provided some pain interventions. Which finding indicates that your intervention was effective? A patient who recently had a C-section was experiencing pain that she rates at 9/10 on your initial assessment. You have provided […]

HPI: A 55 y/o female presents with burning and cramping in chest x1 day. Describes it as 5/10 in intensity. Reports that it gives her a lot of anxiety and is accompanied by nausea. She has experienced this before; it first appeared 6 years ago when her mother passed. She reports it feels like acid […]

Renee is working with an adult patient newly diagnosed with asthma. She has just explained how to use a peak flow meter at home, and the patient’s ‘normal’ peak flow volume was identified. As Renee explains the asthma action plan the pulmonologist has orderd, the patient begins to look confused. He asks, “Why can’t I […]

Jaquari Swanson, a 20 year old with a history of Asperger’s Syndrome, was given a medication to take once a day with food. The bottle had a picture of a hamburger on it. Mr. Cherian did not take the medication because he could not afford to buy a hamburger every day. 1) What could have […]