A 36-year-old female was working on her deck 2 hours ago when her thumb got caught between two planks of wood. She is reporting severe persistent pain in the left thumb nail and states it seems to be getting worse. On exam the patient’s thumb nail has black/purplish discoloration underneath the intact nail. She maintains normal AROM, and is neurovascularly intact. There is a XR negative for fracture. Based on her exam, what is your diagnosis and what would you recommend? 

A 21 year old male reports pain to the right knee after quickly stopping running and twisting while playing soccer. The affected knee had immediate instability and the patient was unable to continue playing soccer after the injury. On physical exam you note acute swelling and effusion to the right knee with a positive Lachman and Anterior Drawer Tests. Which of the following conditions is most likely?

A 60 year old patient presents with complaints of knee pain with no trauma/injury precipitating the pain. They report pain with passive flexion of the affected knee as well as a sense of instability of the affected knee which is described as locking or giving away. Which of the following is the most likely diagnosis and what is the next best action for this patient?

What diagnostic tests would you consider for your top differential? 

Based on this patient’s symptoms and physical exam findings, lumbosacral nerve root is likely affected by this condition?

A female patient presents to the clinic with lower abdominal pain, nausea, fever, and generalized malaise. You complete the following diagnostics, what is your top differential diagnosis?    Test Results Urine Color Yellow Urine pH  6.5 Ketones Negative Bilirubin Negative Pregnancy Negative Protein Negative Leukocyte Esterase  Negative Nitrites Negative Blood  Negative   

What medication would you recommend for a patient with bipolar II? 

What medication would you recommend for a patient with bipolar II? 

All are proper handling methods for mercury hygiene EXCEPT (p.75)

Light or open contacts can contribute to all of the following EXCEPT: (Pg 118)