Bob is a 55 y/o male here for his annual physical exam. He has no current complaints. His BMI is 31, BP 150/90, HR 72, RR 16. He does not smoke, drinks alcohol occasionally, and has a family history of cardiovascular dis
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Bob is a 55 y/o male here for his annual physical exam. He has no current complaints. His BMI is 31, BP 150/90, HR 72, RR 16. He does not smoke, drinks alcohol occasionally, and has a family history of cardiovascular disease. His BP was retaken in the opposite arm and was 155/86. Given the patient's past medical history and presentation, what is your initial diagnosis? - Answer>>> hypertension
Your friend is suffering from adjustment insomnia. She just started a new job and is anxious about her new responsibilities. What are TWO behavior modifications she can make to prevent sleep disturbances? - Answer>>> educate her with good sleeping habits, going to sleep at the same time every night and creating a comfortable sleeping environment
Chad, a 20 y/o male, presents with episodes of diarrhea with mucus and rectal bleeding. A colonoscopy and biopsy are done to confirm ulcerative colitis. How does this disease differ from Crohn disease? - Answer>>> crohns disease has granulomatous inflammation, involvement primarily submucosal, extent of involvement- skip lesions, ulcerative- ulcerative and exudative inflammation, involvement primarily mucosal, extent of involvement- continuous
You are talking to your patient who has been recently diagnosed with Osteoporosis. They mention to you that they are doing safe, weight bearing exercises each day to increase bone density. They are also taking a Calcium supplement. What additional supplement would you recommend they take? Explain why. - Answer>>> They should also take a Vitamin D supplement, as it helps to increase calcium absorption.
Your patient has been suffering from chronic insomnia for the past 6 months. You have prescribed her Ambien as a sedative, but what are TWO additional behavior modifications she can make to prevent sleep disturbances? - Answer>>> 1. avoid stimulants such as caffeine before bed 2. avoid screens
Anne is a 48 y/o female who presents with excessive vaginal bleeding x 6 months. Her skin is pale, she reports feeling fatigued, and often craves a large cup of Sonic crushed ice. A quick in-office H&H shows a hemoglobin of 9 and hematocrit of 30%. Given the patient's past medical history and presentation, what is your initial diagnosis? - Answer>>> anemia
A 75-year-old male is brought to the emergency department by his spouse at 8 pm. The spouse reports that they were cleaning up after dinner at approximately 6:30 pm, and she noticed that her husband's speech was very unclear. When she asked him what was going on, he said that he didn't know and that the entire right side of his face felt numb. She reports that he is very active, but he has a past medical history of atrial fibrillation. A CT scan confirms that this patient has suffered from an ischemic CVA. What is the best treatment plan for this patient? Explain your reasoning. - Answer>>> they should prevent the onset of another stroke a tPA is administered to break up the clot causing the stroke but must be given within 3-4.5 hours which was within this patients stroke.
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