A 78-year old woman comes to the office with her husband, who notes that she has had an increase in aggressive behavior, delusions, and confusion over the past 2 weeks. Additionally, she is complaining her mouth is dry. She strains to pass hard stools. History is significant for hypertension, depression, osteoarthritis, probable Alzheimer’s disease, and […]

An 82-year-old man presents for follow-up on his type 2 diabetes and hypertension. His medications include losartan, metformin, glipizide, and baby aspirin. His recent hemoglobin A1C level was 7.2%, and his blood pressure measurement today is 138/84 mm Hg. While in the office, he reports that he has had a change in his vision and […]

A 65-year-old male is brought to the emergency department complaining of chest discomfort. His father and brother have coronary artery disease and the patient has a history of hypertension, hyperlipidemia, and type II diabetes. He weighs 298 pounds and is 5 feet 10 inches with a BMI of 42.8, which is considered obese. He smokes […]

Question at position 5 A 71-year-old female presents to the emergency department via EMS with pain in her upper back and shoulders that started 2 hours ago. She has been experiencing nausea, dizziness, shortness of breath, and diaphoresis. She reports that she has had more frequent indigestion over the past week and has been unusually […]

Samuel is a freshman with a diagnosis of bipolar disorder who has qualified for special education services under the disability category, emotional disturbance. He has medication ordered to be taken at school, which he often forgets or refuses to take. He has exhibited aggressive and threatening behavior resulting in his missing several days. Samuel is […]