Ms. Allen, a teacher at Cherokee High School, noticed that one of the girls in the front row of her first period Biology class seemed to have red and teary eyes. Initially when she approached the student, Jean, she believed her to be crying and upset. When she questioned Jean, she found that her […]

Mr. Chan has received two units of packed red blood cells and the furosemide. Mayling and Sueling have left to get some dinner. They have been gone for about two hours when Mr. Chan becomes very agitated, tachycardic, and short of breath. Telemetry shows rapid atrial fibrillation with a heart rate in the 180’s. 11. […]

  Shanae Jackson is a 32-year old female who presents with lower abdominal pain and fever. Fevers at home range between 99.4F to a maximum of 101.7F. She describes the lower abdominal pain as a constant dull ache, nonradiating, with a pain scale ranging to 5/10 to 8/10. The pain is worse with sexual intercourse […]

. Mr. Jackson, a 48-year-old male, presents to you as a new patient. He just started working at a local factory and now has insurance. He has been seen at the local health department for the past 5 years. Has not had labs done in at least 2 years and no records are available during […]

A 42-year old man with Type 2 Diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense and +1 Achilles reflex. The nurse practitioner (NP) suspects neuropathy and educates the patient: Question 40 options: “The incidence of neuropathy normally increases over […]

: 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 […]

A 25-year-old woman (G1P0) at approximately 10 weeks’ gestation presented for her first prenatal appointment. She reported nausea and vomiting for the past week. She is not able to tolerate liquids and bland solid foods due to constant nausea and vomiting. She had no significant medical or surgical history and no known drug allergies. She […]

Joey is a 10-year-old boy with Down Syndrome. He ambulates independently with a wheeled walker; however, Joey is slightly unstable when standing without assistance. Joey wants to be more like his older brother. For Joey, this means wanting to take showers instead of baths and to be able to take them without help from his […]

You are seeing a 54-year-old female with a past medical history of kidney stones who presents with a chief complaint of “I have a terrible summer cold.” She reports three days of low-grade fevers (peak of 100.0 °F), cough, sore throat, headaches, and nasal congestion. She reports no myalgia. Her temperature today is 37.3 °C […]

A 2-year-old girl is admitted to the ED for evaluation of what the mother says was a seizure. The patient appears lethargic and difficult to rouse. The mother states that the girl had just eaten dinner when she began to shake uncontrollably. This mother has brought her daughter to the ED 6 times in the […]