A 35 year old man presents with complaints of sudden onset of pain originating in his right latetal back. He states that he has vomited twice this morning, and he is unable to get comfortable. Examination reveals right costal vertebral angle tenderness (CVAT), hypoactive bowel soundd, and painful testicles on palpation. The MOST appropriate intervention […]

A 67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area […]

Melina has a steady job and is in a relationship with her significant other. She is constantly worrying about money and “who will pick up the tab” when they go out. Although she can afford to pay, she is also concerned with her deductible on her insurance plan. Her view of her financial situation appears […]

Henry, who just celebrated his 70th birthday, on average takes five different medications to manage his health conditions. He sometimes forgets he has taken medication and then overmedicates. Sometimes, when he combines his medications, he feels confused and disoriented. Which of these is NOT a likely reason he misuses drugs? He is intentionally abusing drugs. […]

Fernanda is an 81-year-old Hispanic American woman who has not received proper health care in years. She relies largely on family members for remedies. Which of these is likely NOT a reason for this? She does not trust the majority establishment. She does not believe there is anything wrong with her. She speaks Spanish at […]