Education

Your 8 year old patient presents with right sided facial paresis, inability to raise the right eyebrow and difficulty completely closing the right eye. You are concerned about trigeminal nerve problems and consider possible causes. What is the diagnosis associated with this condition, screening considered and treatment? Group of answer choices Bell’s Palsy; consider lyme … Read more

Your 18 year old patient reports headaches in the back of the head that last for hours at a time and have been increasing in frequency the past four weeks. She notes that she and her girlfriend recently started having difficulties because she has been studying with a male tutor. She has not been sleeping … Read more

Your 18 year old patient reports a throbbing headache that comes from her left eye and spreads to her temple and then left side of the head. The headaches are mild to start with but progress to bad throbbing and sometimes she sees sparks of light. The headaches are worse near her menstrual cycles. She … Read more

Your 17 year old patient presents following a syncopal episode. His pulse and blood pressure reflect orthostasis with a change in pulse by 40 points from lying to standing. Based on his weight chart, he is down 15 pounds from his last visit 2 months ago. He is complaining of a change in the color … Read more

Your 17 year old patient has been having classic migraines for the past three months. Initially they occurred every few days but over the past month, have been occurring at least 5 days a week. Motrin, Excedrin and Tylenol have been ineffective in managing the headaches. After a three day period of not having any … Read more

Your 14 year old patient twisted his ankle when his dog got ‘underfoot’. He reports that his ankle went to the side and he fell. On physical examination, your find moderate ecchymosis, pain and swelling along the lateral malleolus. He is able to bear weight, but it increases the pain in his ankle to 5/10 … Read more

You started Ms. Gray on rosuvastatin 40 mg after an MI 6 months ago. She is doing well and reports cardiac rehab went well. She thinks that MI was a wakeup call for her to get her health in shape. She presents today for follow up of her HTN, hyperlipidemia and Type 2 Diabetes. Her … Read more

You have just been hired as the new practice manager for an Oncology practice. You have been asked to determine the best way to manage patient data for clinical and administrative purposes. You will need to adopt a practice management electronic health record (EHR) system. Before doing so, you will need to consider the needs … Read more

You have a 50-year-old female who has high blood pressure and a high heart rate of 85, his balance Bess had 10 errors, and agility was bad with a score of 9.2 and 9.0 and sit and reach was bad with only doing 3 push-ups (Muscular Endurance). Her goals are to improve weak (low) scores … Read more

You have a 25 year old with a history of asthma who comes into the ER struggling to breathe and with bilateral wheezes. What would be your first choice of rescue medication, frequency given and why did you choose this medication? The patient’s breathing gets a little bit better, but she still has wheezes bilaterally … Read more