Download Adult Primary Care and Internal Medicine Clinical Case Question

Sample Clinical Cases
Adult and Pediatric Emergency Medicine Clinical Case
Question:
You are seeing a 9 month old girl with a history of fever >39ºC (102.2°F) for two
days. She has no underlying medical problems and no exposure to ill contacts.
However, she only received immunizations at two and four months of age. On
physical examination, she is well appearing and has no source of fever.
A) Should you perform any laboratory tests?
B) What would You tell to the parents about the treatment of fever?
Adult Primary Care and Internal Medicine Clinical Case
Question:
In an asymptomatic patient with an elevated TSH and a normal free T4 level
(subclinical hypothyroidism), is there a TSH cutoff at which thyroid hormone
replacement should be initiated?
Cardiovascular Clinical Case
Question:
A 72 year old woman with high blood pressure has atrial fibrillation treated with
warfarin anticoagulation. She has decided she no longer wants to continue her
warfarin because it has become too difficult for her to have her INR checked
periodically. What drug therapy should be substituted to prevent embolization?
Sample Clinical Cases
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Endocrinology Clinical Case #1
Question:
What is the effect of strontium on osteoporotic fracture?
Endocrinology Clinical Case #2
Question:
A 50 year old woman is obese (BMI = 32) and has hypertension. She has not achie
ved weight loss despite counseling for diet and lifestyle changes.
A) What is the best medication for pharmacologic management of her obesity?
B) Discribe Hepatotoxicity warnings
Infectious Diseases Clinical Case
Question:
 A 28 year old woman with a sore throat has a positive rapid strep test in
the office. A) How would you manage this patient?
B) Make a slide about the summary of the antimicrobial therapies and their
doses.
Sample Clinical Cases
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Pulmonary, Critical Care, and Sleep Medicine Clinical Case
Question:
A) How effective is long-term warfarin at preventing recurrent pulmonary
embolism?
B) Can breast feeding woman treated with warfarin?
Rheumatology Clinical Case #1
Question:
1. In a patient newly diagnosed with polymyalgia rheumatica (PMR), what is the
dose of prednisone that patients should be treated with initially?
B) Describe the method of the study: Hernández-Rodríguez J, Cid MC, LópezSoto A, et al. Treatment of polymyalgia rheumatica: a systematic review. Arch
Intern Med 2009; 169:1839.
Sample Clinical Cases
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