Blog

You are evaluating a 17-year-old patient for a sports clearance evaluation. His physical exam findings are within normal range, you note S1 and S2 heart sounds without a murmur, normal blood pressure and equal pulses. Your patient’s mom informs you that his father has a history of Wolff-Parkinson-White syndrome (a rare congenital condition characterized by abnormal electrical pathways in the heart). She mentions that he has been treated and is doing well. How does this affect your patient’s evaluation?

Your next patient is a 52-year-old woman with the diagnosis of type 2 diabetes. Her low-density lipoprotein (LDL) level is 160 gm/dL. According to the ACC/AHA Guideline criteria for “Treatment of Hyperlipidemia with Statin Therapy to Reduce Atherosclerotic Cardiovascular Risk”, what is your treatment recommendation to manage this patient?

You are seeing a 32-year-old male patient in clinic following a recent hospitalization. He had a recent surgical immobilization for a femur fracture and reports dyspnea and chest pain associated with inspiration. The patient has a heart rate of 120 beats per minute. Which diagnostic test will confirm the presence of a pulmonary embolism (PE)?

A 54-year-old male has come to your clinic after a weekend of playing touch football with his children at a family function. He planted his foot and twisted his knee. His knee has been painful since the injury. You suspect a meniscus injury. The following is true for this type of injury:

You are seeing a 42 year old female patient with a past medical history that includes hypertension, elevated body mass index and gastric bypass surgery 5 years ago. She stopped taking all of her medications 3 years ago due to a combination of the cost of the medications and her financial situation.  Physical exam findings include BP 100/50 mmHg, HR 88 beats per minute, HEENT exam:  conjunctival pallor (paleness of conjuntiva), cheilosis (inflammatory lesion at the corner of her mouth) and glossitis (inflammation of the tongue).  Her neuro exam revealed loss of proprioception.  What is most likely the cause of this patient’s symptoms?

According to the ACC/AHA Guideline criteria for “Treatment of Hyperlipidemia with Statin Therapy to Reduce Atherosclerotic Cardiovascular Risk” which of the following patient categories would NOT be included in the guidelines for primary prevention.

You prescribed ferrous sulfate, PO, 325 mg TID X 90 days for the diagnosis of iron deficiency anemia. Which of the following statements would NOT be included in patient and family education?

The next 3 questions pertain to this patient.Your next patient is a 26-year old female patient who presents to clinic for a health maintenance exam.  A CBC is obtained with the following results: Complete Blood Count Results  CBC Value Reference Range WBC 5.5 4-11 X 103/ul RBC 4.33 4.0-5 X106/uL Hgb 10.5 12.0-16 g/dL HCT 30.3 36-46% MCV 71 80-100 fl MCH 24.2 28-34 pg MCHC 28.6 32-36 g/dL RDW 15.4 12-14.6% PLT 258 150-450 X 103 u/l  What type of anemia does this patient have?

The list of potential causes for a pleural effusion is long. Which of the following statements is NOT true regarding pleural effusions?

A young, healthy 26-year-old female patient without a previous history of lung disease has an increased respiratory rate and reports a feeling of “not getting enough air.” This patient does not have any signs of a pulmonary infection (no fever, cough, sputum production). The APRN auscultates clear breath sounds bilaterally and notes that she does not have any pulmonary signs for increased respiratory effort. Which diagnostic test will the APRN perform initially?