weight gain, and fatigue. She also reports difficulty managing her acne and increased
facial hair. On physical examination, she is found to have a BMI of 31 and a goiter.
Laboratory tests reveal normal serum cortisol levels and elevated TSH levels.
Additionally, an ultrasound shows multiple small cysts on her ovaries. Which of the
following is the most likely diagnosis for this patient?
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Hypothyroidism
When using anticoagulants in patients with atrial fibrillation, what is an important
aspect of monitoring and management?
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, When using anticoagulants, it is important to monitor the patient's INR
(International Normalized Ratio) to ensure it remains within the therapeutic
range and to adjust the dosage accordingly to prevent bleeding
complications.
What are the primary diagnostic steps for evaluating gynecomastia?
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A thorough history and physical examination, followed by imaging
(ultrasound or mammogram) and possibly hormone level testing.
Which class of diabetes medications is known for its ability to promote weight loss
and has a mechanism that involves increasing insulin sensitivity and reducing glucose
production?
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GLP-1 receptor agonists include liraglutide (Victoza), semaglutide
(Ozempic, Wegovy), and dulaglutide (Trulicity).
A 40-year-old patient reports frequent headaches characterized by a mild to
moderate, bilateral pressure or tightness around the forehead and neck. The patient
notes that these headaches are not associated with nausea or sensitivity to light or
sound. They often occur after a long day at work and seem to improve with rest. What
type of headache is the patient most likely experiencing?
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, Tension Headache
What action is needed with the must not miss diagnosis of Necrotizing Otitis Externa
when assessing for otitis externa?
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Refer to ED
A 25-year-old woman presents with symptoms including irregular menstrual cycles,
acne, and hirsutism. On examination, she is found to have a body mass index (BMI) of
30, and a pelvic ultrasound shows multiple small cysts on the ovaries. Which of the
following is the most appropriate initial management strategy for this patient?
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Recommend weight loss and lifestyle modifications.
Which medication is NOT typically associated with the development of
gynecomastia?
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Insulin
, Common Causes of Otitis Externa
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known as "swimmer's ear," is often caused by bacterial or fungal infections
due to water exposure. Symptoms include ear pain, swelling, and redness
of the ear canal. Treatment typically involves antibiotics or antifungal ear
drops.
A 15-month-old child is brought to the clinic for a developmental assessment. The
parent reports that the child is starting to use simple phrases and can say a few words
like "mama" and "milk." What is the most appropriate developmental milestone for this
age in terms of language development?
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The child should be starting to combine 1-2 words into simple phrases or
sentences.
Thyroid Cancer diagnosis is done how?
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A fine-needle aspiration biopsy determining the appropriate management
plan. Surgical resection may follow if the biopsy confirms malignancy.
What is the first-line dietary recommendation for managing gestational diabetes?