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Mr. Smith, a 40 yr old, obese, smoker c/o intermittent epigastric pain x 1 week especially after eating a big meal. He drinks 3-4 beers per night and sometimes more on weekends. States that he has a hx of acid stomach for which he takes Pepcid intermittently. He recently went on a trip to Mexico and states that the pain started a few weeks after he returned. Family hx is + for a father with CAD and a mother with GB disease. What are all the differential diagnoses you should consider for Mr. Smith?

Peak flow can be easily measured in the outpatient setting and is a necessary device for asthmatics to keep at home. Peak flow measurements assist the patient in what way?

On exam, Ms. Johnson has limited extension and side to side bending. There is minimal tenderness over the left lumbar region. No CVA tenderness. DTRs in the left lower extremity are diminished. Straight leg raise is positive on the left. Strength with dorsiflexion of the left foot is 4/5. Pulses 2+ bilaterally. Extremities warm with good color.  Your most likely diagnosis for this patient is:

Three years later the patient presents to the community pharmacy to purchase loperamide 2mg capsules. They report a 48-hour history of persistent diarrhoea and vomiting following a meal at a restaurant.   Their repeat medications are recorded below: Apidra (Insulin glulisine) 100 units/mL pre-filled Solostar pens, 1 unit per 10 gram carbohydrate Tresiba (Insulin Degludec) 100 units/mL pre-filled pens, 12 units once a day Rigevidon (ethinylestradiol, levonorgestrel) take one tablet daily for 9 weeks followed by a 4-day pill free period. Sertraline 100mg tablets, take one daily

Nancy, a 42 yo patient, presents with pain in her left calf. She denies known injury. She recently returned from vacation and the pain has been present for 5-6 days since. On exam, the back of her left lower leg is pink, warm and swollen. Nancy is otherwise healthy and her only medication is birth control pills. Based on this information Nancy most likely has:

What is a common skeletal changes seen in osteoporosis in the elderly?

Which of the following characteristic is NOT true of innocent murmurs?

One of the reasons that the elderly are more prone to life-threatening pneumonia is:

24 hours later the patient’s condition improves, and the decision is made to switch from fixed rate insulin infusion to a basal bolus insulin regimen.   With reference to Appendix 1 in the resource, what is the maximum estimated total daily dose of insulin recommended for this patient? Answers should be rounded to the nearest whole unit    

While auscultating heart sounds on a 7 year-old who is in for a “routine physical” you hear a soft murmur at left midsternal border heard between S1 and S2, and a venous hum when standing. Which of the following would be true regarding these findings?