A patient is in the clinic with acute symptoms of anxiety. T…
A patient is in the clinic with acute symptoms of anxiety. The patient is restless and has not slept in 3 days. The primary care provider observes that the patient is irritable and has moderate muscle tension. The patient’s spouse reports that similar symptoms have occurred before in varying degrees for several years. The provider should refer the patient to a psychologist and should prescribe which drug for short-term use?
Read DetailsA patient who has hyperlipidemia has been taking atorvastati…
A patient who has hyperlipidemia has been taking atorvastatin 60 mg daily for 6 months. The patient’s initial lipid profile showed LDL of 180 mg/dL, HDL of 45 mg/dL, and triglycerides of 160 mg/dL. The primary care provider orders a lipid profile today that shows LDL of 105 mg/dL, HDL of 50 mg/dL, and triglycerides of 120 mg/dL. The patient reports muscle pain and weakness. What action should the primary care provider take?
Read DetailsA woman who is using a transdermal contraceptive patch calls…
A woman who is using a transdermal contraceptive patch calls the primary care office to report that sometime during her day, the patch fell off and could not be located. What instructions should the primary care provider give to this patient?
Read DetailsA primary care provider is evaluating a patient with stage C…
A primary care provider is evaluating a patient with stage C heart failure. They are currently taking carvedilol 50 mg twice daily and valsartan 160 mg twice daily. Their most recent echocardiogram has showed only minimal improvement in EF, from 25% to 30%, since reaching the target dosages for both medications. The provider should:
Read DetailsA 60-year-old postmenopausal woman arrives to the clinic for…
A 60-year-old postmenopausal woman arrives to the clinic for her annual wellness examination. She weighs 150 pounds and has a body mass index (BMI) of 23. While she has a sedentary job, the patient states that she aims to get at least 30 minutes of moderate intensity exercise a day. The primary care provider (PCP) notes that the patient’s routine bloodwork reports mildly low serum calcium and vitamin D and she has a positive family history for osteoporosis. Which of the following is not an appropriate intervention by the PCP at this time?
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