You are a medical assistant at a local hospital. You have been asked to give a presentation on the diagnosis and treatment of latent tuberculosis infection. The presentation will be open to the public so instead of presenting a real patient case, you decide to create a fictional sample case.

make the single case and list the characteristics of the person you will be testing and treating. Describe basic information about the patient including age, sex, lifestyle, and pertinent medical history.

Take the audience through the typical diagnosis and treatment of TB. Describe the person and their experience including their feelings and concerns at this time. Hospital personnel should leave the presentation to understand the physical and psychological consequences for the patient.

Without treatment, what is your patient’s lifetime risk for TB reactivation?

Your case patient has reported or has been diagnosed with another risk factor of developing active TB infection (e.g. – diabetes, HIV, organ transplant). How much does this factor increase their risk? Does it change the recommended treatment for this patient?

Hypothyroidism, a disease characterized by a decrease in the production of thyroid hormone, is hypothesized to increase the risk of cardiovascular disease (CVD).  In a follow-up study of 1,000 men aged 55 years and older, the investigators are interested in the potential impact of subclinical hypothyroidism on the incidence of myocardial infarction. The overall cumulative incidence of CVD in this cohort was 1.8%. The cumulative incidence of CVD was 12.8% among the 47 men with subclinical hypothyroidism and 1.3% among men without hypothyroidism. The overall prevalence of subclinical hypothyroidism in the cohort was 4.7%.

Q: Assuming causality, what proportion of CVD in men aged 55 and above with subclinical hypothyroidism can be prevented by treating all men with subclinical hypothyroidism with thyroid hormone replacement therapy? Calculate the etiologic fraction among the exposed.

Provide one example of an exercise one may use to improve in each of the protocol performances assessed in Part II of the lab experience.  Give a specific name and brief description of the exercise and an explanation of how/why inclusion would possibly aid with muscle fitness improvement, including the connection with the types of muscle contraction.  You cannot use your exercise example more than once. Be sure to provide a reader-friendly organization of information.

Consider an ethical decision that you have made within the last three years. Examine how you reached this decision. In light of your personal experiences since the decision was made, determine whether you would make the same decision today. If not, examine how and why your decision would be different.

Choose two or more of the medical terms from the letter and use them in a different context. Be creative and have fun. (for example – When the x-ray was done I moved ‘laterally’ towards the door)

Using the three views from the radiological examination, describe a piece of clothing someone is wearing. (for example – the buttons run along the sagittal plane on the anterior surface of the blouse)

What do you think the doctor sees in the evidence to support his finding?

Give the Starling equation of capillary flux in terms specific to the glomerulus.  What determines the ultrafiltration pressure at the glomerulus?  How do the 2 sets of pressures that control GFR, alter from the beginning to the end of the glomerular capillary?  Why does the local ultrafiltration pressure change as blood flows along the glomerular capillary?

ABC Health Clinic has been conducting system analysis for a new clinical provider order entry system (CPOE) for several months now. They have made a firm commitment to the project and now they have some significant decisions to make before they can move to select the new information system. They need to determine who will build the information system and whether the information system should be integrated or interfaced.

The clinic has a practice management system and plans to implement an electronic health record after the CPOE is implemented. Because of this, they have a small information technology staff. Most of these staff members stay busy helping with the day-to-day issues such as security, backups, personal computer problems, and so forth, but one of the staff members has experience with implementing information systems.

• Recommend the process that the clinic should follow.
• Identify issues that this practice may have based on the information provided.