A 28-year-old female presents to the clinic with complaints…

A 28-year-old female presents to the clinic with complaints of feeling on top of the world for the past week. She reports sleeping only 2-3 hours each night but feels fully rested. Her husband reports that she has been spending excessively and has been more talkative than usual. Her past medical history is notable for episodes of severe depression. On examination, her mood is elevated, and speech is rapid with flight of ideas. Her thought process is goaldirected, and no hallucinations or delusions are noted. Which of the following is the most appropriate medication for this patient?

BJ is a 55 yo female with a uterus and ovaries. She is exper…

BJ is a 55 yo female with a uterus and ovaries. She is experiencing night sweats, hot flashes, and vaginal dryness. The night sweats are causing palpitations leading to insomnia. Which of the following is most appropriate for menopausal hormonal therapy would be appropriate for BJ? 

A 26 yo male in your care has been diagnosed with major depr…

A 26 yo male in your care has been diagnosed with major depression syndrome. You wish to start him on pharmacologic therapy, but he expresses significant concern regarding sexual side effects. Which of the following depression medications is an option that will reduce the risk of sexual dysfunction?

A 10-year-old African American boy with a known history of s…

A 10-year-old African American boy with a known history of sickle cell disease presents to the emergency department with sudden abdominal pain and distension. His mother reports that he has been lethargic and pale for the past few hours. On examination, he is tachycardic, hypotensive, and has a markedly enlarged spleen. Laboratory tests reveal a significant drop in hemoglobin and platelet count. The patient is admitted for a splenectomy and stabilization of his sickle cell disease. Which of the following treatments will lower fetal HgbF, decrease mortality and morbidity, and decrease hospitalizations by 50%?