Reference no: EM133314378
Questions
1. Your patient is a known substance abuser who was found unresponsive on the floor. Following transport to the hospital, labwork was performed. You receive a call that her CPK level is >8000 (normal 5-25 u/ml). What could cause this and why does the CPK level go up so high?
2. You receive a phone call from one of your clinic patients, age 72, who is requesting pain pills. While she was lifting groceries, she had a sudden severe pain in the "middle of her back". What might be the cause of the pain and what disease could cause this?
3. Your patient, a 68 year old man, had a routine complete metabolic panel performed at the clinic. The alkaline phosphatase and calcium levels are mildly elevated. Is this anything to be concerned about? Why?
4. You are seeing a 24 year old man who has pain and swelling in his wrist, and a low grade fever. He tells you that the family dog bit him about 2 weeks ago. The wound was washed and medicated at that time. What type of complication could be developing? How did this happen?
5. Your 80 year old patient with osteoarthritis tells you that he has stopped doing regular exercise due to joint pain. He asks "What good is exercise at my age anyways?" What do you tell him?
6. You assess a 2 year old child with a persistent rash which is concentrated in the antecubital fossae on the arms and the popliteal spaces on the legs. What is the likely diagnosis? What usually causes this problem?
7. You assess a 33 year old man who recently developed itchy, scaly lesions on his elbows and knees. They get better, and then get worse. What type of chronic skin disorder might this be? What is the basic pathophysiology of this problem?
8. Your patient has been diagnosed with scleroderma. She asks you what exactly happens to the skin to cause it to harden. What will you tell her?
9. A 30 year old female is at the clinic for her yearly GYN exam. She mentions that she has a mole on her back that she is worried about. What criteria would make this lesion suspicious for malignancy?
10. Your patient is a 60 year old man who has had two basal cell carcinomas removed from his face. He asks how sunlight can lead to cancer. What do you tell him?