Author: Anonymous

Case Summary K.G. presents to your interprofessional clinic for a follow-up visit. He is being co-managed for hypertension and osteoarthritis and is interested in quitting smoking. Six months ago his family physician recommended diet and exercise; despite a 20-lb weight loss in 3 months, his BP remained elevated, and lisinopril 10 mg daily was initiated approximately 3 months ago. Patient K.G., 65-year-old white male Chief Complaint Follow-up visit; no complaints today; requests help with smoking cessation Active Diagnoses Hypertension (HTN) × 6 months; Osteoarthritis (OA) of knee × 2 years Current Medications Lisinopril 10 mg PO daily × 3 months; Ibuprofen 400 mg PO q6h PRN (taking 2 tabs 1–3×/day) Allergies NKDA Social History Tobacco 1 ppd × 30 years; denies alcohol; low-fat/low-sodium/high-fiber diet; exercises 30 min ×3/wk Family History Father: MI at 55 (living); Mother: died of breast CA at 55 Vitals Today BP 158/92 & 152/94 mm Hg; HR 60; RR 14; Wt 210 lb; Ht 6′0″ (BMI ~28.5) Home BP Log (3 mo) Avg ~155/91 mm Hg (range 150/88 – 166/96) Key Labs Na 138; K 4.0; SCr 1.02; Glu 86; Total chol 250; LDL 184; HDL 38; TG 140 Physical Examination: Pupils equal, round, reactive; EOMI; funduscopic exam without hemorrhages, exudates, or papilledema; no bruits. CV: RRR, no m/r/g. Lungs CTAB. No peripheral edema. NOTE: You will want to use the information presented in this Case Study to answer the following questions.

Which screening test compares AIR conduction to BONE conduction to help differentiate conductive from sensorineural hearing loss?

The following five questions come from Amy Easton-Flake’s lesson, “Narratology.”

Which of the following is the MOST LIKELY contributor to K.G.’s persistently elevated blood pressure despite lifestyle modification and lisinopril therapy?

Identify the drug-related problems present in K.G.’s current regimen. (Select all that apply)

A 6-year-old with suspected atypical pneumonia has persistent fever and worsening cough. Which antibiotic is most appropriate?

Please acknowledge that you are aware that Dr. Saad will watch all of your exam videos, in their entirety, and that any form of dishonesty captured on video and/or audio will result in you failing the exam and potentially the class. You must say, “I acknowledge”, to this question to gain access to the exams.

Which combination of PHYSICAL EXAMINATION findings is MOST consistent with hypothyroidism in this patient?

The following five questions come from John Hilton III’s lesson, “Lesson 9: Portraits of Jesus and Christology in the Gospels.”

41. With industrialization, there is a greater social need to care for those who are not in the labor market such as children, the elderly, and people with disabilities. When governments assume responsibility for the well-being and basic needs of its citizens, this is called a(n)