TT, a 25-year-old comes to clinic today for her annual well…

TT, a 25-year-old comes to clinic today for her annual well woman exam.  She has a history of migraine headaches x6 years and would like to discuss contraception today.  She reports that her migraines have been much better in the past year since she switched from topiramate to Aimovig.  She feels this is because she “hates taking pills and forgets to take them a lot – so much easier to do a shot once a month”.  She is married to her husband for 2 years and admits they are tired of using condoms.  She works full time as a high school science teacher and enjoys her job but looks forward to having kids in the next 3-5 years and staying home with them. Today’s vital signs are: BP 122/72 HR 70 O2 94% RR 18.  She is 5’ 4” tall and weighs 217#.  Which form of contraception would best meet TT’s needs today?

HG is a 43-year-old female who has a primary breast cancer,…

HG is a 43-year-old female who has a primary breast cancer, with brain metastases. She is receiving cisplatin and etoposide. While the nurse is giving the IV etoposide, the patient begins to complain of painful burning at the injection site. Which of the following is the antidote for extravasation with etoposide?

JF is a 47-year-old obese Asian male the clinic today becaus…

JF is a 47-year-old obese Asian male the clinic today because he is experiencing his 3rd gout flare over the past 12 months.  His physical exam is notable for bony growths (tophi) on his great toe and first metacarpal joints. His renal and hepatic function are within normal limits. PMH: obesity, uric acid kidney stones, HLA-B*5801 gene mutation Social history: does not smoke, drinks 6 beers every weekend No known drug allergies Current Medications             Ibuprofen 600 mg as needed for gout pain               Which of the following statements is correct?