A 51-year-old woman presents to her provider because of into…

A 51-year-old woman presents to her provider because of intolerable hot flashes and irritability. She has not had a period in over a year. The remainder of the review of systems is negative. Her past medical history is significant for depression and anxiety, but she is not currently on any medication, and her mood is stable. The physical examination is unremarkable. She requests menopausal hormonal therapy (MHT) for symptoms. What additional piece of her medical history would make MHT with estrogen contraindicated?

A 28-year-old sexually active female presents to your clinic…

A 28-year-old sexually active female presents to your clinic with complaints of vaginal itching, burning, and a frothy, yellow-green discharge. On examination, you observe vulvar erythema and confirm the diagnosis of trichomoniasis through microscopy. What is the most appropriate initial treatment for this patient?

A 45-year-old patient presents with complaints of itchy, fla…

A 45-year-old patient presents with complaints of itchy, flat-topped, purple or reddish-brown bumps on their wrists and ankles. On examination, you observe white, lacy lines on the inside of their cheeks and a few similar lesions on the genitals. What clinical features are most indicative of the patient’s condition?

Susan, a 58-year-old African American woman, suddenly experi…

Susan, a 58-year-old African American woman, suddenly experiences intense chest pain, radiating down her left arm, accompanied by nausea and shortness of breath. She breaks into a cold sweat and feels lightheaded. What is the most likely explanation for Susan’s symptoms?

Susan, a 47-year-old woman, presents to her healthcare provi…

Susan, a 47-year-old woman, presents to her healthcare provider with complaints of unusual symptoms. She reports experiencing postmenopausal vaginal bleeding, vaginal discharge, and pelvic pain. These symptoms have been persistent for several weeks. Given Susan’s presentation, which of the following signs and symptoms is most commonly associated with vaginal cancer?

A nurse practitioner is discussing treatment options for bre…

A nurse practitioner is discussing treatment options for breast cancer with a patient. To facilitate shared decision making, the physician presents the patient with a printed brochure and an educational video highlighting the benefits and risks of each treatment option. This use of multimedia tools is an example of: