Master Medicine with Fun Quizzes & Brain Teasers!

Patient with dementia says no to pacemaker but DPOA/daughter says yes to pacemaker procedure for sick sinus syndrome. The most appropriate next step is
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The urologist performs a cystourethroscopy with ureteroscopy to fulgurate a ureteral lesion. What is/are the CPT code(s) for the procedure?
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A demented 70 yo, widowed woman is admitted to your service and determined to lack capacity. There are no advance directives. Who is typically next in line for decision making:
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Medial left heel pain for 5 weeks. Burning and worse with weight bearing or standing and better with rest. Aggravated by full passive dorsiflexion of the ankle .You conclude that:
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An 82 yo woman admitted to your nursing home has a urine culture that grew >100,000 e. coli. You should prescribe antimicrobials if
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The patient presents for replacement of inflatable penile prosthesis through an infected field. What CPT code(s) is/are reported for this service?
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Circumcision with adjacent tissue transfer was performed on a 2 month-old. What CPT code(s) is/are reported for this service?
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The developmental examination on a 6-month-old boy reveals an infant who follows past midline, laughs, turns toward your voice, and has clenched fists. With these findings you
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The patient presents to the office for cystometrogram (CMG). Complex CMG with voiding pressure studies is done. Intraabdominal voiding pressure studies and complex uroflowmetry are also performed. What CPT code(s) is/are reported for this service?
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79 yo F with mild dementia s/p right hip arthroplasty who screams when told to get out of bed. Picks at sheets and speaks nonsensically. The appropriate next step is
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76 yo F with failing memory, unable to pay bills, and unable to knit which she liked to do before, and word finding. What is her diagnosis?
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At his well-child check, a 5-year-old boy is noted to have occasional bedwetting. You advise the parents that
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What is the most appropriate automobile seating for a 7-year-old who is 50 inches tall?
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76 yo M with memory not good as it used to be. Difficulty remember discussions from earlier, but still paying bills and doing puzzles. What is your diagnosis?
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A 14-day-old infant is brought to your office for a routine visit. The rectal temperature is 100.8F. The infant appears well and parents have zero concerns. What should you do?
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80 yo M with unsteady gait, 2 falls. Uses walker. Speech diminished in volume, less distinct. Flat affect. Hypertensive, diabetic, smoker. Asymmetric reflexes, 1/5 on Mini-Cog Test, right group weak, muscle tone increased. This patient most likely has which type of dementia?
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A 3-year-old girl presents with 4-day history of fever without other symptoms. Ears, throat, lungs and abdominal exams are normal, but she appears lethargic. What should be your next step?
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A 16-year-old female patient is evaluated for a 4-day history of sore throat, nonproductive cough and rhinorrhea. She is afebrile, and exam reveals enlarged erythematous tonsils without exudate, and no lymphadenopathy. What is the next step?
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A 9-month-old child is admitted in Jan. for cough, wheezing, feeding, and fever of 38C. CXR shows mild peribronchial cuffing. Which treatment is indicated?
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72 yo M with left hip pain has pain with ambulation after fall. Wants to be non-weightbearing. What is your diagnosis?
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Examination findings of a 17 yo male athlete with near syncope and suspicion for hypertrophic cardiomyopathy would include the following finding:
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A 5-year-old male has 7 days of spiking high fevers and a diffuse erythematous rash. His tongue and lips are red, dry, and cracked, and he has large cervical lymph nodes. In addition to rehydration, what are the next treatment steps?
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3 yo M walking home with mom and cries of pain when elbow is moved and keeping it to left side. Negative x-rays. Using an evidence-based approach to your patient, what would be the best treatment?
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A 2-year-old boy has very red cheeks and a fine rash but does not appear ill. He had a fever a couple of days ago. When can he return to day care?
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