Blog

A 52-year-old healthcare worker presents with multiple verrucous papules on her hands that interfere with work. She requests treatment with the lowest recurrence rate. Which is most appropriate?

A 64-year-old man with coronary artery disease is asymptomatic but asks about stress testing to “check his heart.” What is the most appropriate response?

A 47-year-old teacher presents with hoarseness lasting 6 weeks. He denies smoking, reflux, or URI symptoms. What is the most appropriate next step?

In women with atrial fibrillation, at what CHA₂DS₂-VASc score is long-term anticoagulation generally recommended?

A 67-year-old man experiences sudden, painless monocular vision loss in his left eye while watching television. Funduscopic exam reveals a pale retina with a cherry-red spot at the fovea. What is the most appropriate immediate action?

A 70-year-old woman with a 50-pack-year smoking history presents with hoarseness and chest discomfort. A screening abdominal ultrasound ordered by another provider shows a 5.5 cm infrarenal abdominal aortic aneurysm (AAA). She is otherwise stable. What is the next best step?

A 37-year-old man with latent TB infection is identified on screening for healthcare workers. He is asymptomatic, and his chest X-ray is normal. Which management is most appropriate?

A 59-year-old woman with carotid duplex showing 60% asymptomatic stenosis is evaluated in the clinic. What is the best evidence-based management?

A 42-year-old man with a history of allergic rhinitis presents with recurrent nighttime cough and wheezing. Spirometry reveals FEV₁ of 70% predicted, FEV₁/FVC ratio 65%, and improvement with albuterol. What is the most appropriate controller therapy?

A 72-year-old woman presents with acute severe pain and pallor in her left leg. The exam shows absent distal pulses, paresthesias, and cool skin. What is the most appropriate next step?