A 13-year-old patient with a past medical history of attention-deficit hyperactivity disorder (ADHD) presents to the clinic for routine follow-up. They were started on methylphenidate six months ago and have improved their symptoms. They have no history of cardiac disease. Vitals and physical exams are unremarkable. What is the most appropriate management? A. 24-hour ambulatory […]

45-year-old female with a history of rheumatoid arthritis currently treated with methotrexate presents with complaints of episodic vertigo, tinnitus and hearing loss for the past few months. Dix Hallpike maneuver is negative. You suspect that she has Meniere’s disease, and this is later confirmed by additional audiometric testing. You initially offer a prescription for meclizine […]

Freya has just been admitted into the hospital for a rather embarrassing surgery. She is mortified when an acquaintance who works at the hospital posts a detailed ‘get well’ message on her page on Facebook. Which of the following is TRUE? Question 1 Select one: a. Freya may be able to sue her acquaintance for […]

70-year-old male with a history of hypertension, dyslipidemia and BPH presents with craniofacial pain, sinus pressure, purulent rhinorrhea and fever for the past 12 days. He has no allergies to food or medicine. You diagnose him with acute bacterial rhinosinusitis and prescribe amoxicillin-clavulanate 875-125 mg po bid x 10 days. In addition to antibiotics, which […]

A 65-year-old man DH with liver cirrhosis is admitted to the medical-surgical unit with nausea and vomiting. He also has a diagnosis of heart failure. You note that his serum albumin (protein) level is low. The physician has written admission orders, and you are trying to make the patient comfortable. He is to take nothing […]