The parents of an 8-year-old boy complain of his inability to concentrate and focus and his impulsiveness. Following multiple visits and tests, he is given a diagnosis and prescribed a mixture of amphetamine salts. The parents are initially pleased with the results but soon remark that they find him excessively preoccupied with tasks and 'zombie-like.' How can the physician best address this concern?

The parents of an 8-year-old boy complain of his inability to concentrate and focus and his impulsiveness. Following multiple visits and tests, he is given a diagnosis and prescribed a mixture of amphetamine salts. The parents are initially pleased with the results but soon remark that they find him excessively preoccupied with tasks and 'zombie-like.' How can the physician best address this concern?

A 48-year-old male presents to the emergency department with chest pain for the past 2 days. The pain is nonradiating and burning in nature. An ECG is normal, and serial troponins are negative. The physician makes the diagnosis of GERD. What is the most potent therapy for the prevention of GERD?

A 44-year-old woman with a history of refractory seizure disorder has been treated with numerous antiepileptic agents, which have failed to control her seizures. She has begun on therapy with rufinamide. This agent is contraindicated in which of the following situations?

A 58-year-old man with a history of occasional GERD presents to the clinic with diarrhea for the past 3 months. He has not been sick and feeling quite well otherwise. Further history uncovers that 3 months ago, he switched the type of antacid he uses for reflux. He stopped the antacid and calls back 1 month later, saying he has not had diarrhea since then. Which of the following antacids was most likely causing the patient’s diarrhea?

A 54-year-old woman with a history of migraine headaches has begun on therapy with Topamax as prophylaxis. She is poorly communicative and a poor historian. Which of the following would be important coexisting conditions to know about?