A 61-year-old man of Asian descent is being evaluated for his initial visit at the clinic. The NP asks if he had ever been diagnosed for hypertension. He replies that his previous provider mentioned that his blood pressure was a little high, but he started to take St. John’s wort and it “calmed my heart.” […]

A 53-year-old man presents for a follow-up visit. He has a 12-year history of type 2 diabetes mellitus that is currently be treated with a maximally-tolerated dose of metformin and a thiazolidinedione. He also has hypertension that is well controlled with a calcium channel blocker. His A1C today is 8.2% and it is decided that […]

A 56-year-old man presents for evaluation. He has a family history as well as personal history of alcohol use disorder but his recent drinking status is unclear. He has no history of a psychotic, mood, or anxiety disorder. He does not smoke and he denies use of illicit drugs. Of the following, which is the […]

A 62-year-old male attending physician presents for evaluation of a three-day rash on the right anterior chest wall. The rash is associated with intermittent sharp, lightning-like pain that is not caused or relieved by position or activity and ranks as an 8 on a scale of 10. Past medical history includes tonsillectomy at age three […]

A 30-year-old woman who is a para 3 (P3), divorced executive presents to your clinic for contraceptive advice. She has been in a monogamous relationship with her boyfriend for several months. She denies any drug allergies. She occasionally drinks alcohol and does not smoke. She mentions that she used to take birth control pills without […]

A healthy 21-year-old man presents to a primary care physician to establish care. On examination the following finding is appreciated as shown in the provided picture. He reports a “drooping” of his left eye since birth according to his parents. The remainder of the physical including neurological examination is normal. What is the likely cause […]