You see a 5-year-old patient for a runny nose and allergies. The child also has a residual VSD following partial repair of multiple heart defects. The mother asks if her child will still need prophylaxis antibiotics for an upcoming dental procedure. You see a 5-year-old patient for a runny nose and allergies. The child also […]

A 28 year old female client is admitted to the emergency department with burns after a grease fire. She was cooking in the kitchen and a grease fire started. She used oven mitts to put the fire out, but suffered burns to her bilateral upper extremities. She has deep partial-thickness burns to the anterior surface […]

Sheldon  is a 27-year-old cyber-security analyst who spends roughly 12-14 hours/day at his desk. In the five years since college,he has gained 65 pounds. Recently, Sheldon complained of intermittent chest pain, difficulty breathing, and at times felt like his heart stopped then started again with a big thump. He became more concerned when severe headaches […]

A 66 year old women had a non-ST elevation myocardial infarction treated with a drug-eluting stent to the left anterior descending with predischarge ejection fraction of 66%. Her discharge medications included a beta-blocker, statin, and dual antiplatelet therapy. She came in on metformin for type 2 diabetes, which was continued. Her BP is controlled at […]

A 77-year-old male patient with a documented history of dementia to initial psychiatric evaluation, complaining of visual hallucinations. His conservator reports increased aggression. Which of the following treatment recommendations are true and relevant for this patient? a. SSRIs/SNRIs are recommended as first line psychotropic treatment for aggression in patients with dementia b. Benzodiazepines with a […]

A 48-year-old woman is reporting difficulty sustaining sleep without interruptions. She is currently taking over-the-counter melatonin, and she denies difficulty with sleep onset. Because her middle insomnia has persisted for 3 months and is nonspecific to a trigger, she has decided to address her insomnia with psychotropics. Which of the following is true of melatonin? […]