Eddie R, age 32 is a 12 pack year smoker and is interested in quitting smoking. He has a history of a seizure disorder and schizoaffective disorder with tendency toward hallucinations and disturbing dreams. Given your knowledge of treatment options for smoking...
Mrs. Martinez called the First Care Family Practice Clinic to schedule an appointment for her 3-year-old daughter. Upon attempting to gather patient information, you notice that she is speaking primarily in Spanish and speaks very little English. As you attempt to...
Ella, age 64 presents to the clinic for blood pressure (BP) follow up. Her BP today is 138/88. You notice that she has consistently run in the high 130s systolic over high 80s diastolic for the past 1 year. She is a 30 pack year smoker and overweight. She was recently...
age 78 years is accompanied to the clinic by her daughter who indicates her mother has fallen twice in the past week and fainted while getting her hair done. Current medications include lisinopril 20mg daily (ACE-I) for many years, rosuvastatin 20mg daily (statin) and...
Dan B. is a 48 year-old African American male who presented for a health maintenance exam. His BMI is 28.2, but he has no other comorbidities (negative for diabetes and smoking). Routine fasting lipid screening reveals TC of 234mg/di (high). His HDL-C is 32 (low), LDL...
Lois, age 54, is taking warfarin (Vitamin K antagonist, an anticoagulant) 4 mg p.o. each day following a deep vein thrombosis. Her INs have been well-maintained at 2.0 – 2.3. Today, however her IN is 4.8. On review of her history, you note that she has been...
A 24year old patient with no significant past medical history who took one dose of ibuprofen today for menstrual cramps. Ibuprofen’s half life is approximately 2 hours. She is not on any daily medications. When can the drug be expected to reach steady state? A....
Jean B. is a 60 year-old female newly diagnosed with Type 2 diabetes (A1c 8.6%) . Her BMI is 28 (overweight, not obese). Her past medical history includes an myocardial infarction (MI) 2 years ago and mild chronic kidney disease. You plan to start her on medication....
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....
A 72-year-old male presents with a 5-day history of dyspnea which worsens with exertion, productive cough of white sputum which has increased, wheezing, decreased appetite, and fatigue. He denies fever or other URI symptoms. He smokes 0.5 ppd but hasn’t smoked...
Jane., age 78 years is accompanied to the clinic by her daughter who indicates her mother has fallen twice in the past week and fainted while getting her hair done. Current medications include lisinopril 20mg daily (ACE-I) for many years, rosuvastatin 20mg daily...
A 37-year-old mother of three has just been diagnosed with a grade I meningioma. As part of patient education, the nurse tells the patient that: Growth is slow and symptoms are caused by compression rather than tissue invasion. Surgery, which can result in complete...
