Differential Diagnosis
List the top 5 differential diagnoses for a 35-year-old female with acute right lower quadrant abdominal pain and fever.
Drug Information
What is the standard adult dosing and major side effects of amoxicillin for community-acquired pneumonia?
Patient Education
Explain diabetes type 2 to a newly diagnosed patient in plain language, using analogies.
Clinical Guidelines
Summarize the latest ACC/AHA guidelines for hypertension management in adults.
Documentation Assistance
Draft a concise SOAP note for a follow-up visit for a patient with controlled asthma.
Decision Support
Describe the indications for ordering a CT head in an adult with minor head trauma according to the Canadian CT Head Rule.
Communication Skills
Suggest empathetic ways to break bad news to a patient with terminal cancer.
Acute Management
Outline the initial management steps for a patient presenting with acute chest pain suggestive of myocardial infarction.
Lab Interpretation
Interpret these laboratory results: WBC 15,000, neutrophils 85%, CRP elevated, in a 72-year-old with fever.
Diagnostic Criteria
What are the diagnostic criteria for systemic lupus erythematosus (SLE) according to the ACR/EULAR 2019 guidelines?
Prognosis Communication
How can I discuss prognosis sensitively with a patient newly diagnosed with metastatic lung cancer?
Discharge Planning
Create a discharge checklist for an elderly patient after hospitalization for congestive heart failure.
Preoperative Assessment
What are the key components of preoperative assessment for a diabetic patient scheduled for elective surgery?
Red Flag Symptoms
List the red flag symptoms that warrant urgent evaluation in a patient with chronic low back pain.
Preventive Care
Recommend age-appropriate preventive screenings for a 52-year-old female with no significant medical history.
Vaccination Schedules
Summarize the adult vaccination schedule for an immunocompromised patient.
Medical Calculators
How do I calculate the CHA2DS2-VASc score, and what is its role in atrial fibrillation management?
Imaging Modalities
When should MRI be preferred over CT scan in evaluating a patient with persistent headache?
Procedural Steps
Describe the step-by-step technique for inserting a central venous catheter.
Antimicrobial Stewardship
Provide guidance on antibiotic de-escalation in a patient with ventilator-associated pneumonia.
Health Maintenance
What lifestyle advice should be given to a patient with newly diagnosed hypertension?
Polypharmacy Review
How can I safely deprescribe medications in an 80-year-old patient on 12 chronic medications?
Referrals
When should a primary care doctor refer a patient with persistent hematuria to urology?
Risk Stratification
How is the Wells score used to assess the probability of pulmonary embolism?
Monitoring Parameters
What are the key parameters to monitor in a patient on warfarin therapy?
Side Effect Management
How can I manage the most common side effects of metformin in a patient with diabetes?
Nutrition Advice
Advise a vegetarian patient on sources of dietary vitamin B12 and signs of deficiency.
Rehabilitation Needs
What are the indications for early physiotherapy referral after a stroke?
Mental Health Screening
What screening tools are recommended for depression in primary care?
Counseling for Lifestyle Changes
How do I counsel a patient on smoking cessation, including pharmacologic and non-pharmacologic options?
Interpreting ECGs
Interpret an ECG showing ST elevations in V2–V4 and reciprocal changes in leads II, III, aVF.
Reducing Readmissions
List strategies to reduce hospital readmissions for heart failure patients.
End-of-Life Care
What are the principles of palliative care for a patient with end-stage renal disease?
Blood Transfusion Guidelines
What are the current indications and thresholds for red blood cell transfusion in adults?
Pain Management
List non-opioid options for managing moderate chronic musculoskeletal pain.
Informed Consent
Summarize key points to cover when obtaining informed consent for colonoscopy.
Telemedicine Best Practices
What are best practices for conducting virtual follow-up visits for chronic disease management?
Interpretation of Imaging Reports
How should I explain to a patient that their chest X-ray shows an incidental pulmonary nodule?
Handling Test Results
How do I communicate unexpected abnormal lab results to a patient by phone?
Occupational Health
What advice should I give to a construction worker with a rotator cuff injury returning to work?
Chronic Disease Monitoring
What annual labs are recommended for a patient with type 2 diabetes?
Postoperative Complications
What are the warning signs of postoperative infection after an appendectomy?
Triage Advice
How should I triage a child with a high fever and petechial rash presenting to the ER?
Patient Adherence
Suggest practical strategies to improve medication adherence in elderly patients.
Cultural Competence
How do I approach discussing end-of-life care with patients from different cultural backgrounds?
Pediatric Dosing
What is the correct amoxicillin dose for a 5-year-old with otitis media?
Medical Certificates
Draft a medical certificate for a patient needing time off work due to acute bronchitis.
Fitness to Drive
What are the current guidelines for assessing fitness to drive after a seizure?
Genetic Counseling
When should a patient with breast cancer be referred for genetic counseling?
Early Warning Scores
How is the NEWS2 score calculated and used in acutely ill hospital patients?
Health Literacy
How do I assess and address low health literacy in my patient population?
Family Planning
What contraceptive options are suitable for a 37-year-old woman with hypertension?
Managing Allergies
How do I differentiate between true penicillin allergy and adverse reactions?
Cost-effective Care
What are cost-effective options for lipid-lowering therapy in a resource-limited setting?
Follow-up Scheduling
How frequently should I follow up a patient with stable chronic kidney disease stage 3?
Incidental Findings
How should I counsel a patient about an incidental adrenal nodule found on CT?
Motivational Interviewing
Provide a script for using motivational interviewing to encourage weight loss.
Hospital Admission Criteria
What are the admission criteria for community-acquired pneumonia?
Non-pharmacologic Therapy
What are non-pharmacologic interventions for chronic insomnia?
Breaking Language Barriers
How do I effectively communicate with patients who speak limited English?
Managing Patient Expectations
How do I address unrealistic expectations for antibiotics in viral infections?
Professional Boundaries
What are the key boundaries physicians should maintain in patient relationships?
Medical Emergencies
What are the immediate steps in managing anaphylaxis in the clinic?
Adverse Drug Reactions
How do I recognize and report a serious adverse drug reaction?
Acute Mental Health Crises
What are the steps to assess and manage acute suicidal ideation?
Evidence Appraisal
How do I critically appraise a randomized controlled trial in clinical practice?
Burnout Prevention
What self-care strategies can help physicians prevent burnout?
Medical Error Disclosure
How should I disclose a medical error to a patient and their family?
Medical Ethics
What are the ethical considerations in withdrawing life-sustaining treatment?
Medication Reconciliation
How should I perform medication reconciliation on hospital admission?
Patient Follow-up
How should I structure a follow-up call to a patient recently discharged after a heart attack?
Disease Outbreaks
What are the steps for initial public health response to a suspected measles outbreak?
Anticoagulation Management
How do I bridge anticoagulation for a patient undergoing elective surgery?
Physical Exam Skills
What are the key physical exam findings in a patient with liver cirrhosis?
Sexual History Taking
How do I take a sensitive and inclusive sexual history from adolescent patients?
Noncompliance Handling
How do I approach a patient repeatedly missing appointments for diabetes follow-up?
Research Participation
How do I explain clinical trial participation to eligible patients?
Insurance Appeals
How do I draft an appeal letter to an insurance company for a denied MRI request?
Time Management
What are practical tips for managing time effectively during busy clinic sessions?
Digital Health Tools
What digital tools can help patients track their blood pressure at home?
Assessing Capacity
How do I assess decision-making capacity in an elderly patient with mild dementia?
Geriatric Syndromes
What are the common geriatric syndromes and how should they be managed?
Special Populations
What are the key considerations in managing asthma in pregnancy?
Shared Decision Making
How can I use shared decision-making in choosing anticoagulant therapy for atrial fibrillation?
Complex Case Discussions
How should a multidisciplinary team approach care for a patient with multiple comorbidities?
Handling Difficult Patients
What strategies can help defuse anger in an upset patient demanding immediate attention?
Advance Directives
How do I discuss and document advance directives with an elderly patient?
Abuse and Neglect Screening
How do I screen for elder abuse in the clinic setting?
Documentation for Legal Purposes
How should I document a suspected case of child abuse for legal proceedings?
Occupational Exposures
What are the post-exposure prophylaxis recommendations for needlestick injuries?
Nutrition in Chronic Disease
What dietary modifications are recommended for patients with chronic kidney disease?
Sleep Disorders
How do I evaluate and manage a patient presenting with excessive daytime sleepiness?
Cost Conversations
How do I discuss medication cost concerns with my patients?
Medication Interactions
What are the clinically significant drug interactions with warfarin?
Use of Clinical Decision Rules
How do I use the Ottawa Ankle Rules to assess ankle injuries?
Monitoring Drug Levels
When and how should serum lithium levels be monitored in bipolar disorder?
Preventing Falls
What interventions can reduce fall risk in hospitalized elderly patients?
Immunization Contraindications
What are the absolute contraindications to the MMR vaccine?
Post-exposure Management
How do I manage a patient with potential rabies exposure?
Managing Test Anxiety
How can I help a patient manage anxiety before a major diagnostic test like colonoscopy?
Interpreting Growth Charts
How do I interpret a 3-year-old’s growth chart that shows weight crossing percentiles?
Stages of Change
How can I assess a patient’s readiness to change unhealthy behaviors using the stages of change model?
Management of Incidentalomas
What is the recommended workup for an incidental thyroid nodule found on ultrasound?
Assessing Frailty
How do I use the Clinical Frailty Scale in elderly patients?
Disability Assessments
How do I complete a disability evaluation for a patient with chronic back pain?
Recognizing Rare Diseases
What are the clinical clues to suspect Wilson’s disease in young adults?
Use of Point-of-Care Ultrasound
How can bedside ultrasound assist in diagnosing pleural effusion?
Managing Acute Agitation
What are safe pharmacological and non-pharmacological ways to manage acute agitation in the ER?
Complex Discharge Instructions
How do I write clear discharge instructions for a patient with multiple chronic conditions?
Reporting Public Health Concerns
When is it mandatory to report a communicable disease to public health authorities?
Supporting Caregivers
How can I support and educate caregivers of patients with dementia?
Recognizing Sepsis Early
What are the early warning signs and criteria for diagnosing sepsis?
Managing Needle Phobia
What are practical ways to help patients with severe needle phobia during blood draws?
Interpreting Pulmonary Function Tests
How do I interpret spirometry results suggestive of obstructive lung disease?
When to Repeat Tests
When should thyroid function tests be repeated after starting levothyroxine?
Screening for Substance Abuse
What screening tools are recommended for alcohol use disorder in primary care?
Dealing with Uncertainty
How do I discuss diagnostic uncertainty with patients without losing trust?
Genetic Test Results
How do I explain the implications of a positive BRCA1 gene test to a patient?
Managing Medical Records
What are best practices for maintaining accurate and secure electronic medical records?
Family Meetings
How should I structure and facilitate a family meeting for a patient with a poor prognosis?