Drugs, Diseases & Conditions, Clinical Procedures

Patient Simulations

Patient Simulation: A 65-Year-Old Man With a History of Prostate Cancer and Increased PSA Levels A 65-year-old man with a history of nonmetastatic prostate cancer has a PSA recurrence 2.5-year status post radical prostatectomy. How would you manage this patient?
November 2023
Patient Simulation: A 53-Year-Old Woman With a History of T2D and Persistently Elevated A1C A 53-year-old overweight woman has a 6-month history of T2D inadequately controlled on monotherapy with metformin. What is the most appropriate antihyperglycaemic treatment intensification you should consider?
July 2023
Patient Simulation: Nonexudative Age-Related Macular Degeneration A 76-year-old man with AMD presents with worsening vision in both eyes. What next steps should you take to evaluate and manage his condition?
July 2023
Patient Simulation: A 54-Year-Old Woman With High-Risk HR+/HER2- Early Breast Cancer A postmenopausal woman with high-risk early breast cancer was treated with neoadjuvant chemotherapy followed by breast-conserving surgery. What is the most appropriate next step in management?
May 2023
Patient Simulation: A 58-Year-Old Man With a History of Nonmetastatic Prostate Cancer A 58-year-old man underwent a radical prostatectomy for nonmetastatic prostate cancer 18 months ago. His latest PSA level is elevated. How would you evaluate and treat this patient?
May 2023

Brain Fog and Anxiety in a 45-Year-Old Woman Who Intermittently Fasts For the past 4-5 months, a 45-year-old woman has had difficulty concentrating, which she describes as "brain fog." She has also experienced daytime anxiety and has been more tired than usual.
Clinical Case, November 2023
Rectal Bleeding and Pelvic Pain in a 46-Year-Old Smoker The bleeding is moderate, and the blood is mixed with mucus. He also has pelvic pain, which increases with defecation, and constipation with distension of the abdomen.
Clinical Case, November 2023
Gross Hematuria after BPH Treatment A man with benign prostatic hyperplasia presents to the emergency department with progressively developing urinary hesitancy and gross hematuria 2 weeks after surgery. Can you figure out what's wrong?
Clinical Case, November 2023
25-Year-Old With Joint Pain and Lightheadedness A 25-year-old presents with lightheadedness, dyspnea, vague joint aches, and fatigue. Her husband recalls that she had an itchy rash after playing outside with their kids. What's the diagnosis?
Clinical Case, November 2023
Toenail Changes and Suspected Drug Rash A 56-year-old man presents with a rash on his chest and upper arms that has progressed to involve his buttocks, mid-back, and feet. Do you know what's wrong?
Clinical Case, November 2023

Fast Five Quiz: The Obesity Epidemic Do you know best practices to prevent and treat obesity? Test your knowledge with this quick quiz.
Self Assessment, December 2023
Fast Five Quiz: Obesity Medications How familiar are you with current obesity medications? Test your knowledge with this quick quiz.
Self Assessment, December 2023
Fast Five Quiz: Childhood Obesity How familiar are you with childhood obesity? Test your knowledge with this quick quiz.
Self Assessment, December 2023
Fast Five Quiz: Confronting Obesity Are you familiar with the latest guidelines and advice on how to manage the care of patients who are obese? Test your knowledge with this quick quiz.
Self Assessment, December 2023
Fast Five Quiz: COPD Maintenance Therapy How familiar are you with maintenance therapy for chronic obstructive pulmonary disease? Test your knowledge with this quick quiz.
Self Assessment, December 2023

Skill Checkup: Woman With Pitting Edema of Bilateral Extremities A woman with a history of type 2 diabetes, hypertension, hyperlipidemia, and smoking presents with dyspnea, pruritus, and pitting edema of bilateral extremities. How would you manage this patient?
December 2023
Skill Checkup: A 65-Year-Old Man With Racing Heart Rate A 65-year-old man presents with complaints of progressively increasing shortness of breath on moderate exertion, which began approximately 2 weeks earlier, and racing heart rate. How would you manage this patient?
November 2023
Skill Checkup: Man With Worsening HF Symptoms A 54-year-old Black man presents with a history of heart failure. Despite treatment, he is experiencing worsening symptoms, such as dyspnea and occasional nocturnal cough. How would you manage this patient?
November 2023
Skill Checkup: Woman Gains Weight After Diet and Exercise A 43-year-old woman complains of weight gain after the initial weight loss she achieved with lifestyle modification in the form of diet and exercise. How would you manage this patient?
November 2023
Skill Checkup: A Woman With Darker and Larger Lesions A 49-year-old woman has a history of mild psoriasis on her groin, underarms, and under her breasts. These areas have become darker red and increased in size. How would you manage this patient?
September 2023