Identify the speaker: “Why do you tremble at me alone!…Tremble also at each other! Have men avoided me, and women shown no pity, and children screamed and fled, only for my black veil! . . .I look around me, and lo! on every visage a Black Veil.”

Ryan is a 38-year-old nuclear engineer who presents requesting assistance with anxiety.  He is the lead engineer at a nuclear power plant for safety and has been experiencing being “on edge”.  He tells you it used to be a very infrequent issue, but for the last several months, it has become a daily problem and it is becoming more intense.  “I need to chill out and find something mild and natural to help”.  He has investigated on line and wonders about CBD as an option.  Because of his position, he does have stringent drug testing performed periodically with a no tolerance policy by his employer.  What advice would you give him?  Please select all that apply.

Which of the following statements is true regarding use of Medicare in Spain?

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.