WAPCP Primary case studies
WAPCP Primary · Put your knowledge to work in context.
WAPCP Primary is the primary-care examination track associated with West Allis Primary Care Physicians, S.C., a physician-owned and physician-operated adult and geriatric medicine practice established in 1998 and located at 12555 W. National Ave., Suite 201, New Berlin, Wisconsin. The practice describes itself as a medical home that treats, facilitates, and coordinates a broad range of medical problems, and it explicitly emphasizes health maintenance and disease prevention to improve quality of life. That dual emphasis is reflected in the two content domains of this exam profile: Adult & Geriatric Medicine and Health Maintenance and Disease Prevention, each weighted at 50 percent in this estimated blueprint. The WAPCP Primary case studies are 5 cases and about 2,684 words.
1Dizziness and Falls in an 84-Year-Old on Four Antihypertensives
An 84-year-old woman who lives alone presents after her second fall in three months. She has mild Alzheimer disease (MMSE 22), hypertension, type 2 diabetes, and CKD stage 3b (eGFR 36 mL/min/1.73 m²).
578 words, about 3 min2Persistent Hyperglycemia in a Truck Driver With CKD
58-year-old man with type 2 diabetes for 9 years, BMI 33, hypertension, and CKD (eGFR 42 mL/min/1.73 m², UACR 350 mg/g). Medications: metformin 1,000 mg twice daily, glipizide 5 mg daily, lisinopril 20 mg daily, atorvastatin 40 mg daily.
521 words, about 3 min3Colon Cancer Screening After a Family History and a Prior Adenoma
46-year-old woman with no symptoms requests “the best colon cancer test.” Her father had colon cancer at 52; a paternal uncle was diagnosed at 60. She had a colonoscopy at age 40 because of family history; one 6-mm tubular adenoma was removed, and the endoscopist advised repeat in 5–10 years.
518 words, about 3 min4Preventive Care in Advanced Dementia: When Less Is More
89-year-old man with advanced Alzheimer disease lives in a nursing home. He has dysphagia and two aspiration pneumonia admissions in 6 months, BMI 19, and eGFR 25 mL/min/1.73 m².
526 words, about 3 min5One Visit for a 52-Year-Old Smoker Who Wants Everything Done
52-year-old man presents for a checkup. He has not seen a clinician in 10 years.
541 words, about 3 min