Mr. B is a 35-year-old man with HIV who is currently taking indinavir 800 mg tid, emtricitabine 200mg/tenofovir 300 mg daily, ritonavir 100 mg daily, trazodone 100 mg q hs, and buspirone 15 mg tid. His primary care provider started ketoconazole 200 mg qd one week ago. The PMHNP decides to start sertraline (Zoloft) 50 […]

 A 5-year-old woman presents to your clinic for shortness of breath, chest pain, chills, cough

A 63-year-old client is seen in the emergency department. She complains of a headache and dizziness. Her blood pressure is 202/109. She states she had a glass of red wine with dinner and started feeling unwell several hours after dinner. The only medication she is on a medication for her “mood”, but she can’t recall […]

A mother brings her 14-year-old daughter into your office today inquiring about birth control. 1. What counseling would you provide her about her contraceptive options, risks and benefits? 2. What are the risk categories for combined contraceptives? 3. What are absolute contraindications (unacceptable risk) for combined-contraceptives? 4. How would a provider decide between a monophasic […]

A 70-year-old type 2 diabetic patient is comatose and in the emergency department. STAT blood glucose and serum ketones are ordered. Blood glucose = 650 mg/dL (reference interval 75-100 mg/dL) Serum ketones = negative (reference interval negative) What is the best conclusion? Please select the single best answer Glucose result is acceptable for type 1 […]