45 year old F with CHF displays slow speech, fatigue, lethargy,
cold intolerance and listlessniess, thickened facial features,
periorbital edema, and dry and coarse skin, what is likely
diagnosis with t4 of 1.4 and tsh of 15 Correct Answers
myexedema
58 year old with PMH of type II DM; family hx of CAD;
smokes 1/2 cigarettes, and drinks socially.
a. shes has 3 major risk factors for heart disease
b. her weight is a major risk factor for heart disease
c. her target cholesterol level should include less than 130
d. based on her ten year risk of AVSCD, a statin is appropriate
Correct Answers d. based on her risk , a statin is appropriate
A 23 year old M presents to the clinic with diarrhea and abd
discomfort. He endorses long hx of frequent diarrhea with loose,
greasy stools. He associates these symptoms with bloating, gas,
fatigue. He has 5 lbs weight loss. He feels his symptoms are
better when he has dairy, fruits, vegetables, dairy, meat, and
rice.
A. chronic fatigue
B. infertility
C. Irritable Bowel syndrome
D. Pulmonary hemosiderosis Correct Answers C. irritable
bowel syndrome
A 25 year olf F presents with GI problsm that occur with stress.
Prior to exams, she has severe stomach cramps and abd bloating
that is relieved by defacation. These symptoms occur 4 days a
, month for the last 5 months. Which of the following modalities
can confirm suspected diagnosis?
A. colonoscopy
B. Hydrogen Breath testing
C. Rome IV criteria
D. Tissue transglutiminase antibdody testing Correct Answers
C. Rome IV criteria
A 30 year old women reports decreased appetite, difficulty
sleeping, and intolerance to cold, dry skin, and difficulty
concentrating, which diagnostic should be tested? Correct
Answers Check thyroid hormone levels
A 33 year old M presents for a routine physical exam. His
medical hx is significant for type II diabetes and obesity. His
family is significant for celiac disease in his first cousin. He
denies any abnormal GI symptoms. Routine labs are ordered and
he is found to have an elevation in serum transaminases and iron
deficiency amenia. What would prompt an evaluation for
celiac's disease?
A. a first cousin with history of celiac disease
B. iron deficiency disease
C. type II diabetes
D. unexplained elevation in LFTs Correct Answers D.
unexplained elevation in LFTs
A 53 year old comes in with fatigue and occasional redness in
his stool, his vitals are stable, but there is a mild paleness to his
conjunctica, what are the next steps? Correct Answers check
cbc, labs, refer to GI for colo