Skill Checkup

 
 

  • Skill Checkup: A Man With Type 2 Diabetes and Chest Pain A 65-year-old Black man with a 5-year history of type 2 diabetes and a 7-year history of hypertension and hyperlipidemia experienced a 'scary' episode of acute chest pain. How would you manage this patient?
  • Skill Checkup: A Woman Newly Diagnosed With HIV A 34-year-old woman presents to her general practitioner's office for a routine annual exam and is diagnosed with HIV. How would you manage this patient?
  • Skill Checkup: A Woman With Cervical Cancer and Cough A 40-year-old woman previously diagnosed with stage IIA cervical cancer presents with a persistent cough during her follow-up surveillance visit following 9 months of treatment. How would you manage this patient?
  • Skill Checkup: A Man With Lumps and Night Sweats A 62-year-old man presents with unexplained lumps on his neck and under his arm and night sweats. How would you manage this patient?
  • Skill Checkup: A Woman With Fever and Shortness of Breath An 18-year-old woman presents with a positive COVID-19 antigen test and fever, headache, malaise, muscle pain and shortness of breath when she walks to the bathroom. How would you manage this patient?
  • Skill Checkup: A Man With Persistent Fatigue A 50-year-old man with asthma was diagnosed with COVID-19 4 months ago. He recovered, but related persistent fatigue still interferes with his daily life. How would you manage this patient?
  • Skill Checkup: A Man With Painful and Itchy Rash A 58-year-old man who received the live zoster vaccine presents with a painful, itchy rash on his face and trunk. How would you manage this patient?
  • Skill Checkup: A Woman With Fever and Burning Rash A 40-year-old White woman with rheumatoid arthritis presents with fever, headache, photophobia and a painful, burning rash on her right flank. How would you manage this patient?
  • Skill Checkup: A Woman Not Vaccinated Against HZ A 70-year-old woman presents at the office for an annual checkup. She is wondering if she is a candidate for vaccination. She has not been vaccinated previously. How would you manage this patient?
  • Skill Checkup: A Man With Larger Axillary Lymph Node A 68-year-old man has chronic lymphocytic leukemia without del(17p)/TP53 mutation. After treatment, his initial enlarged axillary lymph node is now 60% larger. How would you manage this patient?
  • Skill Checkup: A Man With IgA Nephropathy and Frothy Urine Six months ago, a 56-year-old Black man was diagnosed with/ treated for primary IgA nephropathy. Today, he presents with fatigue, abdominal pain, and frothy urine. How would you manage this patient?
  • Skill Checkup: A Man With Type 2 Diabetes and High A1C Level A 55-year-old man with type 2 diabetes had an A1C of 9.0% at diagnosis. With metformin 800 mg/day, he achieved A1C of 8.0% after 6 months. His current A1C is 7.4%. How would you manage this patient?
  • Skill Checkup: New Chest Pain in Breast Cancer Survivor A 61-year-old woman presents at a follow-up appointment with upper chest pain and breathing difficulty. She was previously diagnosed and treated for breast cancer. How would you manage this patient?
  • Skill Checkup: A Postmenopausal Woman With Breast Mass A 53-year-old postmenopausal woman presented with a newly discovered mass in her left breast. Imaging showed a 3.2-cm solid mass in the upper outer quadrant. How would you manage this patient?
  • Skill Checkup: A Premenopausal Woman With Breast Cancer A 38-year-old premenopausal woman with de novo stage IV invasive ductal carcinoma of the right breast has multiple liver, bone and axillary lymph node metastases. How would you manage this patient?
  • Skill Checkup: A Man With Back Pain Despite Treatment A 44-year-old man with a history of axial spondyloarthritis presents with moderate to severe lower back pain, despite naproxen treatment. How would you manage this patient?
  • Skill Checkup: A Woman With Breathlessness, Fatigue, and Agitation A 72-year-old woman presents with breathlessness, extreme fatigue, and weakness, and can be heard wheezing. She is also highly agitated and is sweating profusely. How would you manage this patient?
  • Skill Checkup: A Man With New-Onset Palpitations A 62-year-old Black man admitted with fever, chills, malaise, and productive cough later develops episodic palpitations with shortness of breath. How would you manage this patient?
  • Skill Checkup: Man With Cervical/Lumbar Dorsalgia A 59-year-old man presents with worsening cervical/lumbar dorsalgia, paresthesia and numbness/tingling in his hands and feet, and muscle weakness in his legs and arms. How would you manage this patient?
  • Skill Checkup: Man With Fever and Productive Cough A 19-year-old man presents with fever and productive cough associated with retrosternal chest pain. IgA is 52 mg/dL, IgM is 6 mg/dL, and IgG is 89 mg/dL. How would you manage this patient?