A new patient, a 19-year-old man, presents to your office with low back pain. He has a history of opioiddependence and is now on a methadone maintenance treatment program. He is requesting opiate analgesics.After examination, you decide not to prescribe opiates for pain control. The patient gets upset and threatens tofile a complaint with your licensing authority. Which one of the following is the best next step?
A mumps outbreak is occurring in your community, with higher attack rates among post-secondary students.Which one of the following is the most effective intervention?
A 39-year-old man presents to your clinic 4 months after a motor vehicle collision. He is trying to return towork but is having a difficult time because his job requires him to drive. He used to love his job, but he isworried about going back because every time he gets into a car, he is filled with dread, gets dizzy, and feelsfaint. He has regular nightmares about the incident. Which one of the following is the most likely diagnosis?
A 28-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic for a prenatal visit. Her pregnancy isat 20 weeks’ gestation. Her ultrasonogram shows a normal fetus and a low-lying placenta. Which one of thefollowing is the best next step?
A 16-year-old girl presents to the clinic with concerns about her toenails. The lesions, as shown in theattached image, have been present for 2 to 3 months. She is otherwise healthy and is in training for a triathlon.Which one of the following is the best next step?