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,Which thyroid-stimulating hormone (TSH) level indicates a. 0.2 uIU/L
hyperthyroidism?
a. 0.2 uIU/L
b. 0.4 uIU/L
c. 2.4 uIU/L
d. 4.2 uIU/L
A patient has sudden onset of right upper quadrant and Common bile duct obstruction
epigastric abdominal pain with fever, nausea, and vomiting.
The emergency department provider notes yellowing of the
sclerae. What is the probable cause of these findings?
Acute acalculous cholecystitis
Chronic cholelithiasis
Common bile duct obstruction
Infectious cholecystitis
A patient who developed chronic diarrhea after gastric b. Avoiding liquids with meals
surgery asks what can be done to mitigate symptoms. What
will the provider recommend initially?
a. A diet high in carbohydrates
b. Avoiding liquids with meals
c. Empirical antibiotic therapy
d. Probiotic supplements
A postpartum woman develops fatigue, weight gain, and This condition may be transient
constipation. Laboratory values reveal elevated TSH and
decreased T3 and T4 levels. What will the provider tell this
patient?
A thyroidectomy will be necessary.
She should be referred to an endocrinologist.
She will need lifelong medication.
This condition may be transient.
, Which medications may cause the greatest increase in the a. Aspirin
prevalence of GERD? (Select all that apply.) b. Benzodiazepines
a. Aspirin c. Calcium antagonists
b. Benzodiazepines
c. Calcium antagonists
d. Hormone replacements
e. Oral contraceptives
An adult patient reports intermittent, crampy abdominal pain b. Obtain upright and supine radiologic views of the abdomen
with vomiting. The provider notes marked abdominal
distention and hyperactive bowel sounds. What will the
provider do initially?
a. Admit the patient to the hospital for consultation with a
surgeo
b. Obtain upright and supine radiologic views of the abdomen
c. Prescribe an antiemetic and recommend a clear liquid diet
for 24 hours
d. Schedule the patient for a barium swallow and enema
What is the probable underlying pathology of irritable bowel Alteration in processing of sensory information
syndrome (IBS), according to research over the last decade?
Alteration in processing of sensory information
Changes in intestinal secretory mucosa
Intestinal tissue disease
Malabsorption of specific nutrients
A patient has a history of diverticular disease and asks what Consuming a diet high in fiber
can be done to minimize acute symptoms. What will the
practitioner recommend to this patient?
Avoiding saturated fats and red meat
Consuming a diet high in fiber
Taking an anticholinergic medication
Using bran to replace high-fiber foods