Mom of a 10-year-old patient in your practice, Jack, calls with concerns. Teachers at school are asking for Jack to be assessed for ADHD. After a history review, behavioral ratings from both parents and teachers, an office visit for physical exam, and consideration of differential or other comorbidities, you diagnose ADHD. You add a consult for behavioral therapy and your first medication recommendation is:
Read DetailsJennifer is a 42 year old female well-known to your practice. In the last 10 months she has presented at least once/month with diffuse abdominal pain. The pain is rated as severe, she has quit her job related to the symptoms. All medical evaluation has been negative including: xray, CT scan, ultrasound, and colonoscopy. Today she states she is checking her blood pressure and pulse multiple times daily and is highly anxious in the office. You consult psychiatry and consider a diagnosis of:
Read DetailsA 45-year-old woman was diagnosed 6 months ago with acute hepatitis B. She is unaware of how she contracted the virus. She takes no medications and since the diagnosis has started taking a multivitamin and begun to exercise. She now has the following serologies: HBsAg: negative anti-HBsAg: positive HBeAg: negative anti-HBcAg: positive Which of the following is your interpretation of those results?
Read DetailsA 78 year-old male patient with history of HTN, DM, hyperlipidemia, atrial fibrillation, obesity, and HFpEF reports chronic dyspnea on exertion. He gets winded walking across the room and can only climb 1 flight of stairs before having to stop to catch his breath. Denies shortness of breath at rest. What NYHA class of heart failure would you characterize this patient as having?
Read DetailsName two different types of kidney stones (stone composition) and a specific risk factor for each type you name. Risk factor should be different for each type of kidney stone (do not use the same risk factor for both). 0.5 points given for each type of kidney stone/risk factor.
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