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Free Case
Diabetic Ketoacidosis - Free Case
A 43-year-old woman with abdominal pain is in the ER. Can you safely diagnose and manage her DKA?
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Signed in users can try the free case from beginning to end for free, which includes CME credits and MOC points. Will you make the patient better fast enough, and without causing harm? -
Case File
Gender and Sexuality - Series 10 Virtual Patient
In this case, you will learn how to discuss sexual orientation and gender identity (SOGI) with all patients. You will also learn some unique ways to care for patients who identify as LGBT. -
Case File
Motivational Interviewing - Series 10 Virtual Patient
Denise Williams is a 50-year-old patient with a history of hypertension and smoking. You would like her to quit smoking. Learn effective strategies for addressing Denise’s smoking addiction. -
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Aortic Stenosis - Series 10 Virtual Patient
Arthur Thomas is a 78-year-old patient who has been under your care for years. About a week ago, he began having weekness in his right hand, tingling in his right face, and some trouble speaking. What test should you order?
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Case File
Carpal Tunnel Syndrome - Series 10 Virtual Patient
Ms. Peterson is a 31-year-old woman who presents to your office as a new patient. She suffers from hand pain that is worst at the end of the work day. How will you manage her pain? Will you recommend surgery? -
Case File
Opioid Use Disorder - Series 10 Virtual Patient
Jessica is a 54-year-old patient who has suffered from knee pain for 10 years. This is her first visit with you and she is hoping you can refill her prescription for oxycodone. What questions will you ask to assess her pain? -
Case File
Depression - Series 10 Virtual Patient
Ms. Beck is a new patient who has been feeling down for at least 3 months. She does not enjoy any of the things she used to enjoy and her sister suspects she is depressed. How will you determine if depression is the reason for her symptoms? Should you prescribe anti-depressants? -
Case File
Hyponatremia - Series 9 Virtual Patient
A new patient, Mr. Smith, is a 47-year-old truck driver who is nauseous, tired and suffering from headaches. Mrs. Taylor is experiencing vomiting, diarrhea and abdominal cramping that worsens when she eats. How will you treat each of them?
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Case File
Giant Cell Arteritis - Series 9 Virtual Patient
Mrs. Sampson is 78 and has been bothered by headaches and fatigue for a couple of months. After reviewing her history of diabetes and hypertension, how will you proceed with her treatment?
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Case File
Hepatitis C Virus - Series 9 Virtual Patient
Sam is 58 and wonders if he should be tested for Hepatitis C after hearing a friend was recently diagnosed. Katie is 45, has a history of using IV drugs, suffers from fatigue, and is here to review her test results.
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Case File
Management of Patients with Major Neurocognitive Decline: Series 9 Virtual Patient
When you treated Mr. Martin in series 6 of Annals Virtual Patients, you diagnosed mild neurocognitive disorder. At that time, the Martins were hopeful for the best. Now, Mr. Martin appears to be facing new challenges related to his cognitive impairment as his disease progresses.
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Case File
Venous Leg Ulcers - Series 9 Virtual Patient
You’ve been managing Mr. Reilly’s type 2 diabetes and hypertension for several years. He reports that his legs have been swollen and hurt by the end of the day. What tests will you order?
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The Restless Patient - Series 9 Virtual Patient
Andrew Simpson’s diabetes is complicated by chronic kidney disease, retinopathy, and gastroparesis and he’s having difficulty sleeping. Cheryl Carter, whose history includes obesity, diabetes, osteoarthritis, and smoking, is now experiencing hot flashes and heavier periods. What will you recommend for each of these patients?
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Case File
Alcohol Use Disorders - Series 8 Virtual Patient
Paul, a college student, needs an inhaler refill but his history also raises concern for problems with alcohol use. How will you manage all of this? -
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Constipation - Series 8 Virtual Patient
Beatrice is 57 and calls your office regarding a bout of constipation. Can you help her? -
Case File
Care of the Patient with Hip Fracture - Series 8 Virtual Patient
Ruth, an 89-year-old diabetic, fractured her hip in a fall and is admitted for surgery. How will you address Ruth's fears and her family's concerns regarding her recovery from surgery? -
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Palliative Care in Advance Heart Failure - Series 8 Virtual Patient
Betty was recently hospitalized with ischemic cardiomyopathy and episodes of ventricular tachycardia. After some time in rehabilitation, she visits you to discuss her health concerns. -
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Smoking Cessation - Series 8 Virtual Patient
Mr. Stewart presents to you with a cough. He smokes 2 packs of cigarettes per day. He is a diabetic and has hypertension. Ms. Smith is 27, pregnant and smokes. What are your recommendations for each of these patients?
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Type 2 Diabetes - Series 8 Virtual Patient
Tracey is a 35-year-old woman concerned about her blood sugar after an ER visit for a respiratory illness. What tests will you order? -
Case File
Prostate Cancer - Series 7 Virtual Patient
Mr. Jennings is a 50-year-old new patient who inquires about prostate cancer screening. Is it the right thing to do? Mr. West has pain in his upper spine and blood in his semen. What’s your plan? -
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Gastroesophageal Reflux Disease - Series 7 Virtual Patient
Mrs. Hernandez is pregnant and complains of heartburn. John has had an acidic taste in his mouth for months. Gary has been on a PPI for over 10 years. What decisions will you make? -
Case File
Community Acquired Pneumonia - Series 7 Virtual Patient
Mr. Brown is diabetic. His mother was recently hospitalized with pneumonia and he wonders if there is anything he (or you) should do to prevent his developing it. Is there? How would you treat him if he did have pneumonia? -
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Deep Venous Thrombosis - Series 7 Virtual Patient
Mr. Smith will be traveling to Tokyo. He wants your advice regarding immunizations and preventing blood clots. Ms. Arnold has leg pain, and she’s pregnant. What will you do? -
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Chronic Kidney Disease - Series 7 Virtual Patient
Mr. Johnson is 44, smokes a pack each day, and is referred to you because for hypertension. Can you prevent problems down the road? -
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Knee Pain - Series 7 Virtual Patient
Mary Kay is 57 and has had knee pain for months. Her husband, Marshall, visits you soon after with a fever and right knee pain. Justin is 40 and has pain in both knees and hands. What will you recommend for each? -
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Insomnia - Series 6 Virtual Patient
Jorge is an internal medicine resident struggling with insomnia. He needs to be alert for his training. Can you help him? Beverly is 70 and wants a sleep medication she saw advertised on TV. Will you prescribe it for her?
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Case File
Neurocognitive Decline - Series 6 Virtual Patient
Mr. Martin is a 76-year-old with diabetes, hypertension and osteoarthritis. He complains of memory loss and an inability to concentrate on tasks. What steps will you take to address his concerns?
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Shoulder Pain - Series 6 Virtual Patient
Mr. Montalto’s right shoulder pain wakes him at night. Mrs. Harrison is 72 and has a stiff shoulder that worsens through the day. Will you order any tests for these patients?
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Case File
Perimenopause - Series 6 Virtual Patient
Joanna is a 48 and has troubling hot flashes and difficulty sleeping. Gail, a former smoker, is experiencing irregular periods and migraines. How will you treat each of their symptoms?
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Case File
Low Back Pain - Series 6 Virtual Patient
Mrs. Anderson has low back pain that radiates down her legs with exercise. Mr. Lombardi has low back pain after shoveling snow. How will you evaluate their concerns?
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Hypertension - Series 6 Virtual Patient
Michael is 35 and is concerned that his blood pressure was elevated prior to a dental procedure. James has had hypertension for 8 years and is frustrated with his current treatment. How will you manage these patients?
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The Anxious Patient - Series 5 Virtual Patient
Mia is a 26-year-old lawyer who presents to your office for a new patient visit complaining of headaches and trouble sleeping. Where do you start? -
Case File
Concussion - Series 5 Virtual Patient
Stanley is a 34-year-old accountant who presents to your office with complaints of persistent headache and difficulty concentrating 3 days after striking his head. What steps will you take to evaluate him? -
Case File
Management of Newly Diagnosed HIV Infection - Series 5 Virtual Patient
A 26-year-old male who recently moved to your area wants a physical examination and to establish primary care. He wonders if he should be tested for HIV. What would you like to ask him? -
Case File
Care of the Adult Cancer Survivor - Series 5 Virtual Patient
Sally is a 48-year-old woman with a history of breast cancer that was successfully treated with lumpectomy and radiation therapy, followed by adjuvant chemotherapy. You will co-manage her care along with her oncologist. How will you counsel and manage this patient? -
Case File
Stable Ischemic Heart Disease - Series 5 Virtual Patient
Tom is 49 years old, mildly obese and smokes. He presents to your office with a chief complaint of chest pain and a history of hypertension. How will you evaluate, manage and advise this patient? -
Case File
Obstructive Sleep Apnea - Series 5 Virtual Patient
Mr. Thomas is a 51-year-old truck driver who calls the office to schedule an appointment after a recent visit to the ER. He fell asleep while driving last week and was in a motor vehicle accident. What steps will you take to follow up with him? -
Case File
Parkinson's Disease - Series 4 Virtual Patient
Larry, a mildly overweight 64-year-old patient with no chronic health problems, noticed his right hand shaking occasionally for the past few months. What steps will you take to respond to Larry’s inquiry about if he has Parkinson’s? -
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Migraine - Series 4 Virtual Patient
Courtney is 31 and presents with headaches that have become increasingly bothersome. Can you evaluate and diagnose her headache type? -
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Pulmonary Hypertension - Series 4 Virtual Patient
Ms. Mahoney, a 32-year-old patient with a history of anxiety and asthma, is requesting an albuterol refill for worsening shortness of breath. What will you do and what is the best explanation for her symptoms? -
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Hyperthyroidism - Series 4 Virtual Patient
Ms. Keen is a 62-year-old woman who presents to your office for an acute appointment with fatigue. What questions will you ask and how will you examine her?
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Case File
A Woman with Dyspnea and Edema - Series 4 Virtual Patient
Ms. Art is 67 and experiences shortness of breath when walking up stairs. She also has swelling in both legs occurring 2-3 times weekly over the past 6 months that extends mid-calf but goes away with elevation. How will you evaluate? -
Case File
Avoiding Problems in Transitions of Care - Series 4 Virtual Patient
Mr. Martin is 75 and has a history of hypertension, stroke, type 2 diabetes, peripheral neuropathy and congestive heart failure. He was recently admitted with shortness of breath and lower extremity edema. Can you prevent this patient from falling through the cracks? -
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Gastrointestinal Bleeding - Series 3 Virtual Patient
Chuck has belly pain. Dan has hepatitis C and is dizzy. Arnold has rectal bleeding. Do you know how to properly evaluate and treat each patient?
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Case File
Chlamydia and Gonorrhea - Series 3 Virtual Patient
Ms. Wallace appears to have a sexually transmitted infection (STI). Will you wait for culture results or treat now? Should you treat her partner who is not your patient? A year later she becomes pregnant. Should you test her for STI?
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Delirium - Series 3 Virtual Patient
Emma had a stroke, and her daughter is worried about her mother's confusion. Does Emma have delirium, dementia, or both? Does it matter, and how will you help them?
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Case File
Painful Hip - Series 3 Virtual Patient
Mrs. Sprague is elderly and has fallen. Can you identify the characteristics of her fall that would predict hip fracture? Would a negative x-ray reassure you? Ruth has a femoral neck fracture and needs surgery. Are you able to take on her perioperative management? -
Case File
Lyme Disease - Series 3 Virtual Patient
Mary is bitten by a tick while camping. Joshua has a new rash after working in the woods. Kevin, an avid camper, has a right facial droop, and Sandra thinks her fatigue is due to Lyme disease. Are you able to evaluate and treat each of them? -
Case File
Common Skin Disorders - Series 3 Virtual Patient
Lisa has seasonal allergies and a scaly rash on her knees. Can you make the diagnosis and effectively treat her? Robert has a rash on his arms that won’t get better. Does he need a biopsy? Are you familiar with some newer therapies that might help him? -
Case File
Preoperative Evaluation - Series 2 Virtual Patient
A 55-year-old woman with hypertension, CHF and diabetes needs cataract surgery. A 62-year-old man with CAD and diabetes has a growing AAA. A 67-year-old woman with COPD, chronic kidney disease and prior TIA needs spine surgery. What will you recommend for each patient?
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Case File
Celiac Disease - Series 2 Virtual Patient
Maeve is 47, here for her annual exam. She has always been thin. She feels fine. Elizabeth is 17, and is always tired. Does either have a problem?
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Hypothyroidism - Series 2 Virtual Patient
Kay is a 28-year-old and seeing you to establish care. Should she be screened for hypothyroidism? Would your decision change if she were overweight? Meghan is 26, pregnant and has hypothyroidism. What should she do about her levothyroxine?
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Case File
Polycystic Ovary Syndrome - Series 2 Virtual Patient
Abby is 23 and presents with irregular menses. Can you diagnose and manage her PCOS? What will you advise regarding her infertility?
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Case File
Urinary Tract Infection - Series 2 Virtual Patient
Your patient Doris has called and visited the office multiple times for dysuria. Can you help decrease her recurrent urinary tract infections?
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Palliative Care - Series 2 Virtual Patient
Mary is 42 and has newly diagnosed lung cancer. As pain increases, are you able to manage opioid therapy safely and adequately?
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Case File
Breast Cancer Screening and Prevention - Series 1 Virtual Patient
Breast Cancer Screening and Prevention: Kathy’s friend was recently diagnosed with breast cancer. She’s worried and wants you to order a mammogram. Should you?
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Case File
Herpes Zoster - Series 1 Virtual Patient
Mrs. Jones is 65 years old and seeing you for the first time and not expecting any vaccinations. What would you advise her regarding the varicella-zoster vaccine?
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Contraception - Series 1 Virtual Patient
Jenna is a college student who smokes and has migraine headaches. Can you correctly and safely counsel her regarding her contraceptive options?
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Case File
A Patient with Joint Pain - Series 1 Virtual Patient
Mark is 56 years old and has knee pain. Can you correctly examine his knee and make a diagnosis? He wants to know how to keep the pain from coming back. What will you tell him?
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Case File
Vaginitis and Cervicitis - Series 1 Virtual Patient
Lindsey is 25 and has painful urination. Mrs. Albert is 54 years old and has vaginal discharge. Abby is 18 and complains of painful intercourse. Can you correctly diagnose and manage each patient?
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Case File
Sickle Cell Disease - Series 1 Virtual Patient
Shanice is 24 and has complications of sickle cell disease. Can you help her reduce the number of crises?
| Title | Play | Redeem CME/MOC | |
|---|---|---|---|
| Diabetic Ketoacidosis - Free Case | Free, Log in to play case | Log In or Register to Redeem CME/MOC | |

