A 32 year-old female comes regularly to your office with symptoms of hypoglycemia. After a few visits, you’ve become suspicious of possible factitious insulin self-injections. Which of the following tests is most useful to detect factitious insulin injections? A.Serum insulin level B.C-peptide level C.serum glucose level D.serum albumin level E.serum bilirubin level Correct Answer is […]
Delusional Disorder A 24 year-old woman is brought to your office by her husband because her husband thinks she is delusional. Six weeks ago, one night they watched Tom Cruise’s movie Top Gun: Maverick. In one scene, Tom Cruise smiles at a coactor. The patient told her husband that Tom Cruise actually smiled at the […]
A 26 year-old female is brought to your office by her husband because he is concerned about her symptoms. For over a year, she has been feeling less interested in things she usually enjoyed before, she is irritable ‘over little things’, she has trouble falling asleep, wakes up too early many nights, she is not […]
Cultural Factors in the Treatment of Anxiety A 43 year-old Japanese patient comes to your office for the evaluation of his symptoms. For the last 8 months, he has been avoiding social gatherings and staying in his house. He prefers to ‘work from home’, not interested in going to work or outside activities. He does […]
A 64 year-old female, Mrs.Jane, comes to your office for her annual health checkup. For the last few months, she has been having difficulty remembering the names of her friends. She struggles to remember even the names of some of her grandchildren. Sometimes she struggles to find the right words to express her thoughts. Sometimes […]
A 65 year-old female arrives in your office for her annual health checkup. Which of the following is true about the risk of falls in the elderly? Correct Answer is C. Falls are a serious problem in older adults, increasing morbidity and mortality. Polypharmacy is a risk factor for falls with psychotropic medications taking the […]
A 36 year-old male patient comes to your office seeking treatment for his opioid abuse and alcohol abuse. He is particularly interested in using naltrexone maintenance. His past medical history is significant for chronic Hepatitis C. His most recent alanine aminotransferase (ALT) level is 80 U/L and Aspartate aminotransferase (AST) level is 90 U/L. Regarding […]
Parental Consent for Minor Treatment A 15 year-old male comes to your office for the evaluation of dysuria in your office. He has recently become sexually active and fears a sexually transmitted infection( STI). His parents are divorced and live differently. He asks you not to inform them about his STI. What is the most […]
A 16 year-old male came to your office for the evaluation of a rash on his back and an abscess on his right thigh. He is also feeling frustrated, irritable and lost interest in activities he once enjoyed. His vital signs were Temp = 98.2 F, Blood pressure = 150/90 mm Hg, Pulse = 95/minute, […]
