You suspect your 22 year-old patient has panic disorder.  What is the most appropriate work up to complete to establish this diagnosis? 

Elisabet is a 23-year-old who presents requesting your help,  “You’re the only one I can trust”.  She says that she is pregnant and the next Virgin Mary but relates that “they’re out to get me so I’ll abort this baby”.  “They have even made me start my period, but it’s all a trick, I KNOW I’m pregnant”.  She tells you that she is being followed, but managed to get away from her pursuers with an elaborate scheme to evade them.  “I know you’ll protect me”.  About now, you decide you should have called in sick for clinic and that you’re either in the midst of a James Patterson novel or perhaps a horrible dream.  When you open your eyes and see Elisabet is still there, you begin to whittle down to a list of differential diagnosis.  What do you think is going on?  Remember….I don’t make these things up!! They’re based on things I’ve actually had happen in the office :).  Please select all that apply.

Which is associated with peptic ulcer disease? Select all that apply.

Hunter is a 23-year-old who presents with complaints of ongoing issues with nausea and vomiting as well as general GI distress.  As part of your thorough history and physical, you find that he smokes marijuana daily and recently had a friend introduce him to wax.  You discuss with Hunter you suspect he has hyperemesis syndrome related to marijuana use. What should be included in your treatment plan.  Select all that apply.

Donna is a 57-year-old with a 40-pack year history of smoking cigarettes.  She presents requesting help with smoking cessation.  She tells you that she is feeling better than she has in a long time.  “I just got out of the hospital for a nervous breakdown.  The police came and took me because I was trying to jump off the bridge over the Missouri River”.  She has decided she wants to quit smoking so she can “feel really, really healthy”.  You have encouraged her for years to quit smoking and are thrilled she is wanting to quit.  Please select all appropriate treatment options for Donna.

Paul is a 62-year-old who presents with complaints of a gnawing, mid epigastric pain that is worsened by eating. This description is most likely indicative of:

Please select the statement/statements that is/are true regarding Zika Virus.

Bao is a 23-year-old woman you are are evaluating for diarrhea and suspected irritable bowel syndrome.  Other than a careful history and physical, what is the best diagnostic plan to pursue?

Anita is a 37-year-old who presents as a new admission physical from a local assisted living facility that cares for a lot of mentally ill adults. She has told the staff and yourself that she has been taking alprazolam 1 mg at least QID for the last several months (she obtained illicitly).  The staff would like to discontinue this medication.  What’s your best plan?

Kaitlyn is a 20-year-old college student who presents for evaluation of inability to quit crying.  She is accompanied by her Mom who has driven to campus to pick her up and take her home due to her concerns. Kaitlyn tells you that two weeks ago her professor in her film class had the group watch a film that “was really really scary”.   She states she is sleeping well, feels rested when she gets up, is still going to class and has been able to concentrate on her studies, “the only thing I can’t seem to do is quit crying and I haven’t been able to write my review paper for the film we watched”.  She wakes up crying each morning and will start to cry for no reason during class, “I don’t feel sad”.  You note that Kaitlyn appears Asian and her mother appears Caucasian. As part of the history, you find that she was raised in an orphanage in China until the age of 5, when she was adopted by her.  She has a very difficult time in recounting this history.  What is your working diagnosis?