BONUS QUESTION (OPTIONAL) Nancy, age 73 has developed a Urin…
BONUS QUESTION (OPTIONAL) Nancy, age 73 has developed a Urinary Tract Infection (UTI) and you elect to treat her with Ciprofloxacin (Fluoroquinolone) 250mg twice daily for 5 days. You note that she is also on medications for peptic ulcer disease including Famotidine (H2 receptor antagonist) and sucralfate (cytoprotective agent) daily. Best advice to the patient on administering these medications is:
Read DetailsQuestion 25 Jackie O. comes to the clinic today concerned of…
Question 25 Jackie O. comes to the clinic today concerned of fatigue, weight gain and abnormal periods. She has no previous past medical history of any chronic illnesses. She does have family history of hypothyroidism in her mother. You perform a physical exam which is normal. You then order laboratory tests with results as follow. CBC – normal CMP – normal Vit D – normal TSH – 15 microunits/ml – high (normal range is 0.4-4 microunits/ml) Free T4 – 0.8 mcg/dl – low (normal range is 0.9-2.4 mcg/dl) You determine she is hypothyroid. Your next course of action is to:
Read DetailsQuestion 27 Use the case study below to answer this question…
Question 27 Use the case study below to answer this question and the next question Justin, age 37 fell off a ladder 24 hours ago. He presents with right shoulder pain. Imaging reveals no bony abnormalities. He has been taking ibuprofen 800mg every 8 hours since the injury for his pain, but reports this has not relieved the pain. He has no red flags for neurological or vascular abnormalities but exhibits right shoulder pain with abduction and external rotation. He rates the pain as 8 on a scale of 1-10 and indicates that the pain is constant and interfering with his activities of daily living as well as sleep. He asks for something stronger than ibuprofen for his pain. You conclude that Justin is experiencing acute pain secondary to the musculoskeletal trauma based on history and physical. You decide to prescribe an opioid for his pain. Essential provider considerations consistent with current recommendations when beginning opioid therapy for acute pain should include: (Check all that apply)
Read Details