Ryan is a 38-year-old nuclear engineer who presents requesti…

Ryan is a 38-year-old nuclear engineer who presents requesting assistance with anxiety.  He is the lead engineer at a nuclear power plant for safety and has been experiencing being “on edge”.  He tells you it used to be a very infrequent issue, but for the last several months, it has become a daily problem and it is becoming more intense.  “I need to chill out and find something mild and natural to help”.  He has investigated on line and wonders about CBD as an option.  Because of his position, he does have stringent drug testing performed periodically with a no tolerance policy by his employer.  What advice would you give him?  Please select all that apply.

Identify the title for quote; “. . .there was now reared a…

Identify the title for quote; “. . .there was now reared a tall naked Pole, with something on the top that looked like a red nightcap, and from it was fluttering a flag, on which was a singular assemblage of stars and strips–all this was strange and incomprehensible. He recognized on the sign, however, the ruby face of King George, under which he had smoked so much a peaceful pipe; but even this was singularly metamorphosed. The red coat was changed for one of blue and buff, a sword was held in the hand instead of a sceptre, the head was decorated with a cocked hat, and underneath was painted in large characters, GENERAL WASHINGTON.”

Identify the author: The first American poet to achieve gen…

Identify the author: The first American poet to achieve general recognition and to appreciate nature for its own sake. Mostly a moralist using nature to teach philosophical lessons. He idealized nature. He was acquainted with the major Hudson River School of Painting artists, especially Thomas Cole.

Elisabet is a 23-year-old who presents requesting your help,…

Elisabet is a 23-year-old who presents requesting your help,  “You’re the only one I can trust”.  She says that she is pregnant and the next Virgin Mary but relates that “they’re out to get me so I’ll abort this baby”.  “They have even made me start my period, but it’s all a trick, I KNOW I’m pregnant”.  She tells you that she is being followed, but managed to get away from her pursuers with an elaborate scheme to evade them.  “I know you’ll protect me”.  About now, you decide you should have called in sick for clinic and that you’re either in the midst of a James Patterson novel or perhaps a horrible dream.  When you open your eyes and see Elisabet is still there, you begin to whittle down to a list of differential diagnosis.  What do you think is going on?  Remember….I don’t make these things up!! They’re based on things I’ve actually had happen in the office :).  Please select all that apply.

Eric is planning a trip this next summer to meet his friends…

Eric is planning a trip this next summer to meet his friends and family in Ghana.  He presents to clinic requesting your assistance with obtaining any required immunizations.  As you review the materials regarding Ghana, you see that the yellow fever vaccine is required.  What is the best way for you to proceed?

Liam is a 21-year-old who presents to the office because he…

Liam is a 21-year-old who presents to the office because he can’t seem to quit crying.  When asked if he has any thoughts of harming himself he responds “I’d have to quit crying long enough to figure out how I’d do it”.  What is the most appropriate plan of care for this patient?