Scenario 3 Your Role:
You are a certified medical assistant (CMA) employed by Dr. Anna Lee,
Primary Care Physician (PCP) at Fulwood Medical Center Urgent Care
Center
Your Patient:
Ms. Ashley Massey, a 16-year-old female, presents in the office not
wanting to state her reason for the visit.
Scenario:
Upon rooming the patient you learn that her last menstrual period was 8
weeks ago. She has breast tenderness and mild nausea. She requests
complete privacy. While the doctor is in the room speaking with the
patient you are asked to prepare for a urine sample pregnancy test and
return to instruct the patient and administer the test. While you are
preparing you receive a phone call from a hysterical woman stating that
she is the patient's mother and she would like to speak to her daughter.
After performing the test you see a positive result. The patient asks you
what the result of the test is.
Explain the communication techniques you used with the patient to help
her open up about why she was in the office to see the doctor.
Explain how you respond to the patient when she asks to see the results
of the test.
Explain how you respond to the woman on the phone.
Record your response in the cell below.
Response:

Females who lift weights are not going to develop large, bulky muscles because a. they have more muscle fibers than men b. they have thicker muscle fibers than men c. they have lower testosterone levels than men d. all of the above does not change length

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

Anurse is reviewing the medication administration record of a client who reports having a dry productive cough for the past 2 weeks. which of the following medications should the nurse report to the provider? a. furosemide b. lisinopril c. diltiazem d. metoprolol