Blog

A 27 year old male presents to the office complaining of an ulcer on his penis that he just noticed.  It doesn’t hurt but he is worried.  He is sexually active with males and reports that he occasionally uses condoms. He has had 7 partners in the last 6 months.  What are your recommendations for treatment and testing?

A patient presents to the office for routine STD testing without any symptoms. Results are received 3 days later and show that he is positive for Chlamydia. What is your treatment and education plan?

A 21 year old female presents to the office for vaginal discharge and itch for the past 3 days. She is sexually active and takes Ortho Tri Cyclen for her birth control. She does not use condoms. On exam you note thick white discharge and on microscopic exam you note budding yeast. What is her diagnosis and treatment plan?

A 32 year old male presents to the office for left upper abdominal pain. He reports it started this morning when he awoke. He complains of nausea, vomiting, and decreased appetite. He has a history of alcohol abuse.  You suspect he has pancreatitis and explain that his treatment will include

A 18 year old female presents to the office complaining of diffuse abdominal pain, fever, nausea and vomiting.  On exam you note a fever of 101.6 and heart rate of 116, but the remainder of her vital signs are normal. On examination, she has guarding and rebound tenderness. She has abdominal pain when passively extending her thigh lying on her side with knees extended and with active flexion of her thigh. What dose she have and what are your recommendations?

Lisa is a 22 year old female that smokes 2 PPD with a 5-pack per year history of cigarette smoking. She saw you 3 days ago and had productive yellow sputum, cough, SOB, and low grade fever. CXR confirmed RLL infiltrate and she was diagnosed with community acquired pneumonia (CAP) and she was started on Azithromyacin and guafanesin. On today’s follow up visit she denies fever, says cough had improved and feels less SOB. Initially, she had rhonchi on exam and today you note some inspiratory crackles and tactile fremitus. What is the next step in your plan of care?

Side effects of SSRI’s include the following: nausea, vomiting, GI upset and sexual dysfunction.

A 19 year old female presents to the office for complaints of shortness of breath and wheezing. She indicates that she ishavign daily symptoms has awoken 3 times in the last week due to coughing.  She denies smoking and allergy symptoms. She has missed several days of work because she has not been feeling well. In the office she has wheezing and coughing, but otherwise everything else is normal on exam. She has normal vital signs and denies congestion, runny nose, fever/chills. What medication is the preferred choice for her?

A 24 year old obese female presents to the office for evaluation of hypertension. She indicates she recently has been having headaches and asked the nurse at work to check her blood pressure which was 145/92. You review her chart and note that the last two readings were 145/92 and 148/90. Today she presents and her blood pressure is 144/92. The remainder of her vital signs and exam are normal. She indicates that she was recently married and they are trying to start a family, but thought perhaps all the recent changes have been too stressful and increased her blood pressure. What are your recommendations for her?

Which of the following is a true statement regarding benign prostatic hypertrophy?