A 65-year-old man returns to the clinic 3 months after routine blood tests revealed a serum TSH level of 0.08 µIU/mL. The patient has been feeling well and denies cold or heat intolerance, palpitations, diarrhea, neck pain, and skin/hair changes. The patient recalls being told that he has lumps in his thyroid. He has no family history of thyroid disease, is a nonsmoker, and takes only a daily aspirin. On examination, a 2-cm nodule in the left lobe of the thyroid is palpated, but the rest of the thyroid does not appear enlarged or tender to palpation. The patient’s reflexes are within normal limits. There is no lid lag or signs of exophthalmos. Laboratory results obtained during this presentation reveal the following: TSH 0.05 U/mL; free thyroxine (T4) 3.56 ng/dL (normal 0.8-1.8 ng/dL); total T4 9.3 µg/dL (normal, 4.5-12 µg/dL); and total T3 is within normal limits. The patient is diagnosed with Sub-clinical hyperthyroidism from a toxic adenoma. What is the most appropriate next step in the management of this patient?
1. Order a radioactive iodine uptake (RAIU) and scan
2. Radioactive iodine to ablate the thyroid gland
3. Reexamine the patient in 1 year
4. Referral to a surgeon for total thyroidectomy
A 55-year-old white male presents with new onset of multiple episodes of chest pain at rest. He has no prior history of cardiac disease. Beginning two days earlier he began to develop spontaneous episodes of chest discomfort. He has had three episodes which lasted 20 - 30 minutes. He is admitted to the CCU. His ECG on admission is normal. His blood pressure is 140/90 and his heart rate is 90. Shortly after admission he has another episode associated with 2 mm of ST segment depression. After 20 minutes the discomfort resolves. Repeat ECG shows resolution of the ST segment depression and no new changes.
Which one of the following drugs would NOT be appropriate in this circumstance?
Thought content in schizophrenia is characterized by which of the following:
1. phobias
2. hallucinations
3. illusions
4. delusions
1...1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only
5.All of the above are correct
A 20 year old mulliparous female has smoked 25 cigarettes per day for the last five years. Which of the following statements is/are correct pertaining to her pregnancy outcome.
1. infants weight is less in smokers
2. perinatal mortality is increased
3. the incidence of abruptio placenta is increased
4. low birth weight is related to the duration and number of cigarettes smoked
1. 1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only
5. all of the above are correct
A 65-year-old man returns to the clinic 3 months after routine blood tests revealed a serum TSH level of 0.08 µIU/mL. The patient has been feeling well and denies cold or heat intolerance, palpitations, diarrhea, neck pain, and skin/hair changes. The patient recalls being told that he has lumps in his thyroid. He has no family history of thyroid disease, is a nonsmoker, and takes only a daily aspirin. On examination, a 2-cm nodule in the left lobe of the thyroid is palpated, but the rest of the thyroid does not appear enlarged or tender to palpation. The patient’s reflexes are within normal limits. There is no lid lag or signs of exophthalmos. Laboratory results obtained during this presentation reveal the following: TSH 0.05 U/mL; free thyroxine (T4) 3.56 ng/dL (normal 0.8-1.8 ng/dL); total T4 9.3 µg/dL (normal, 4.5-12 µg/dL); and total T3 is within normal limits. The patient is diagnosed with Sub-clinical hyperthyroidism from a toxic adenoma. What is the most appropriate next step in the management of this patient?
1. Order a radioactive iodine uptake (RAIU) and scan////////
2. Radioactive iodine to ablate the thyroid gland
3. Reexamine the patient in 1 year
4. Referral to a surgeon for total thyroidectomy
A 55-year-old white male presents with new onset of multiple episodes of chest pain at rest. He has no prior history of cardiac disease. Beginning two days earlier he began to develop spontaneous episodes of chest discomfort. He has had three episodes which lasted 20 - 30 minutes. He is admitted to the CCU. His ECG on admission is normal. His blood pressure is 140/90 and his heart rate is 90. Shortly after admission he has another episode associated with 2 mm of ST segment depression. After 20 minutes the discomfort resolves. Repeat ECG shows resolution of the ST segment depression and no new changes.
Which one of the following drugs would NOT be appropriate in this circumstance?
Thought content in schizophrenia is characterized by which of the following:
1. phobias
2. hallucinations
3. illusions
4. delusions
1...1,2,3 only
2. 1,3 only
3. 2,4 only//////////
4. 4 only
5.All of the above are correct
A 20 year old mulliparous female has smoked 25 cigarettes per day for the last five years. Which of the following statements is/are correct pertaining to her pregnancy outcome.
1. infants weight is less in smokers
2. perinatal mortality is increased
3. the incidence of abruptio placenta is increased
4. low birth weight is related to the duration and number of cigarettes smoked
1. 1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only
5. all of the above are correct
A 65-year-old man returns to the clinic 3 months after routine blood tests revealed a serum TSH level of 0.08 µIU/mL. The patient has been feeling well and denies cold or heat intolerance, palpitations, diarrhea, neck pain, and skin/hair changes. The patient recalls being told that he has lumps in his thyroid. He has no family history of thyroid disease, is a nonsmoker, and takes only a daily aspirin. On examination, a 2-cm nodule in the left lobe of the thyroid is palpated, but the rest of the thyroid does not appear enlarged or tender to palpation. The patient’s reflexes are within normal limits. There is no lid lag or signs of exophthalmos. Laboratory results obtained during this presentation reveal the following: TSH 0.05 U/mL; free thyroxine (T4) 3.56 ng/dL (normal 0.8-1.8 ng/dL); total T4 9.3 µg/dL (normal, 4.5-12 µg/dL); and total T3 is within normal limits. The patient is diagnosed with Sub-clinical hyperthyroidism from a toxic adenoma. What is the most appropriate next step in the management of this patient?
1. Order a radioactive iodine uptake (RAIU) and scan=====
2. Radioactive iodine to ablate the thyroid gland
3. Reexamine the patient in 1 year
4. Referral to a surgeon for total thyroidectomy
A 55-year-old white male presents with new onset of multiple episodes of chest pain at rest. He has no prior history of cardiac disease. Beginning two days earlier he began to develop spontaneous episodes of chest discomfort. He has had three episodes which lasted 20 - 30 minutes. He is admitted to the CCU. His ECG on admission is normal. His blood pressure is 140/90 and his heart rate is 90. Shortly after admission he has another episode associated with 2 mm of ST segment depression. After 20 minutes the discomfort resolves. Repeat ECG shows resolution of the ST segment depression and no new changes.
Which one of the following drugs would NOT be appropriate in this circumstance?
Thought content in schizophrenia is characterized by which of the following:
1. phobias
2. hallucinations
3. illusions
4. delusions
1...1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only=======
5.All of the above are correct
A 20 year old mulliparous female has smoked 25 cigarettes per day for the last five years. Which of the following statements is/are correct pertaining to her pregnancy outcome.
1. infants weight is less in smokers
2. perinatal mortality is increased
3. the incidence of abruptio placenta is increased
4. low birth weight is related to the duration and number of cigarettes smoked
1. 1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only
5. all of the above are correct=======
A 65-year-old man returns to the clinic 3 months after routine blood tests revealed a serum TSH level of 0.08 µIU/mL. The patient has been feeling well and denies cold or heat intolerance, palpitations, diarrhea, neck pain, and skin/hair changes. The patient recalls being told that he has lumps in his thyroid. He has no family history of thyroid disease, is a nonsmoker, and takes only a daily aspirin. On examination, a 2-cm nodule in the left lobe of the thyroid is palpated, but the rest of the thyroid does not appear enlarged or tender to palpation. The patient’s reflexes are within normal limits. There is no lid lag or signs of exophthalmos. Laboratory results obtained during this presentation reveal the following: TSH 0.05 U/mL; free thyroxine (T4) 3.56 ng/dL (normal 0.8-1.8 ng/dL); total T4 9.3 µg/dL (normal, 4.5-12 µg/dL); and total T3 is within normal limits. The patient is diagnosed with Sub-clinical hyperthyroidism from a toxic adenoma. What is the most appropriate next step in the management of this patient?
1. Order a radioactive iodine uptake (RAIU) and scan====
2. Radioactive iodine to ablate the thyroid gland
3. Reexamine the patient in 1 year
4. Referral to a surgeon for total thyroidectomy
A 55-year-old white male presents with new onset of multiple episodes of chest pain at rest. He has no prior history of cardiac disease. Beginning two days earlier he began to develop spontaneous episodes of chest discomfort. He has had three episodes which lasted 20 - 30 minutes. He is admitted to the CCU. His ECG on admission is normal. His blood pressure is 140/90 and his heart rate is 90. Shortly after admission he has another episode associated with 2 mm of ST segment depression. After 20 minutes the discomfort resolves. Repeat ECG shows resolution of the ST segment depression and no new changes.
Which one of the following drugs would NOT be appropriate in this circumstance?
Thought content in schizophrenia is characterized by which of the following:
1. phobias
2. hallucinations
3. illusions
4. delusions
1...1,2,3 only
2. 1,3 only
3. 2,4 only====
4. 4 only
5.All of the above are correct
A 20 year old mulliparous female has smoked 25 cigarettes per day for the last five years. Which of the following statements is/are correct pertaining to her pregnancy outcome.
1. infants weight is less in smokers
2. perinatal mortality is increased
3. the incidence of abruptio placenta is increased
4. low birth weight is related to the duration and number of cigarettes smoked
1. 1,2,3 only ====
2. 1,3 only
3. 2,4 only
4. 4 only
5. all of the above are correct
A 65-year-old man returns to the clinic 3 months after routine blood tests revealed a serum TSH level of 0.08 µIU/mL. The patient has been feeling well and denies cold or heat intolerance, palpitations, diarrhea, neck pain, and skin/hair changes. The patient recalls being told that he has lumps in his thyroid. He has no family history of thyroid disease, is a nonsmoker, and takes only a daily aspirin. On examination, a 2-cm nodule in the left lobe of the thyroid is palpated, but the rest of the thyroid does not appear enlarged or tender to palpation. The patient’s reflexes are within normal limits. There is no lid lag or signs of exophthalmos. Laboratory results obtained during this presentation reveal the following: TSH 0.05 U/mL; free thyroxine (T4) 3.56 ng/dL (normal 0.8-1.8 ng/dL); total T4 9.3 µg/dL (normal, 4.5-12 µg/dL); and total T3 is within normal limits. The patient is diagnosed with Sub-clinical hyperthyroidism from a toxic adenoma. What is the most appropriate next step in the management of this patient?
1. Order a radioactive iodine uptake (RAIU) and scan=====
2. Radioactive iodine to ablate the thyroid gland
3. Reexamine the patient in 1 year
4. Referral to a surgeon for total thyroidectomy
A 55-year-old white male presents with new onset of multiple episodes of chest pain at rest. He has no prior history of cardiac disease. Beginning two days earlier he began to develop spontaneous episodes of chest discomfort. He has had three episodes which lasted 20 - 30 minutes. He is admitted to the CCU. His ECG on admission is normal. His blood pressure is 140/90 and his heart rate is 90. Shortly after admission he has another episode associated with 2 mm of ST segment depression. After 20 minutes the discomfort resolves. Repeat ECG shows resolution of the ST segment depression and no new changes.
Which one of the following drugs would NOT be appropriate in this circumstance?
Thought content in schizophrenia is characterized by which of the following:
1. phobias
2. hallucinations
3. illusions
4. delusions
1...1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only=======
5.All of the above are correct
A 20 year old mulliparous female has smoked 25 cigarettes per day for the last five years. Which of the following statements is/are correct pertaining to her pregnancy outcome.
1. infants weight is less in smokers
2. perinatal mortality is increased
3. the incidence of abruptio placenta is increased
4. low birth weight is related to the duration and number of cigarettes smoked
1. 1,2,3 only
2. 1,3 only
3. 2,4 only
4. 4 only
5. all of the above are correct=======
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