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Author Archives: Anonymous

A 32-year-old has a 10-day history of cough after an upper r…

A 32-year-old has a 10-day history of cough after an upper respiratory infection. Afebrile, lungs with scattered rhonchi, and normal oxygen saturation. What is the most appropriate management?

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Which set correctly lists the first-line medication classes…

Which set correctly lists the first-line medication classes for primary hypertension?

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A 10-year-old boy with BMI in the 97th percentile (obese), h…

A 10-year-old boy with BMI in the 97th percentile (obese), hypertension, and a family history of premature cardiovascular disease is seen for well-child care. According to current guidelines, when should this child undergo lipid screening?

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A 4-month-old infant is brought to the clinic in January wit…

A 4-month-old infant is brought to the clinic in January with rhinorrhea, cough, nasal flaring, intercostal retractions, and diffuse wheezing. Her oxygen saturation is 92% on room air. She is feeding poorly and appears fatigued. What is the most appropriate management?

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In a non-smoker with a normal chest X-ray, the most common c…

In a non-smoker with a normal chest X-ray, the most common causes of chronic cough include:

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A 56-year-old with Diabetes, Hypertension, and a history of…

A 56-year-old with Diabetes, Hypertension, and a history of Coronary Artery Disease and Peripheral Vascular Disease has an LDL of 181 mg/dl. What would you recommend for cholesterol treatment?

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The patient you are seeing notes “problems with my memory,”…

The patient you are seeing notes “problems with my memory,” some cognitive impairment. When reviewing his medication list, which product would you suspect may be the cause?

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A 74-year-old woman presents with exertional chest pain, syn…

A 74-year-old woman presents with exertional chest pain, syncope, and dyspnea. Exam reveals a harsh systolic murmur radiating to the carotids. What is the most likely diagnosis?

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A 59-year-old woman presents with palpitations, dizziness, a…

A 59-year-old woman presents with palpitations, dizziness, and fatigue. ECG shows an irregularly irregular rhythm without distinct P waves. What is the most important initial management step?

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A 62-year-old man with a history of CABG presents with occas…

A 62-year-old man with a history of CABG presents with occasional calf discomfort when walking long distances, which resolves with rest. He states he is still able to complete daily activities, including grocery shopping and yard work, without significant limitation. Ankle-brachial index (ABI) is 0.75. What is the most appropriate next step in management?

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