Reference no: EM132470481
1. A patient is seen in follow-up 12 weeks after being started on levothyroxine, 75 mcg daily. Today the patient reports feeling well and offers no complaints. Vital signs are normal. Serum TSH is 4.7 mIU/L. The next step in the management of this patient is to:
Tell the patient she is doing well and should continue her current medication with a follow-up in 12 weeks
Review with the patient her routine for taking her medication
Increase the dose to 100 mcg/daily
Order FT3 ad FT4 studies
2. T.O. presents complaining of significant left lower quadrant pain. Physical examination reveals a tender left lower quadrant with no rebound or guarding. The patient has a temperature of 100.9o F. Stool is hemoccult negative. The AGACNP knows that the appropriate imaging study to confirm the diagnosis is:
Contrast enema
CT of the abdomen
Abdominal radiograph
Ultrasound of the abdomen
3. A 36-year-old female presents for evaluation of wheeze while exercising. She has no significant medical history and has always been very healthy. During review of systems she does admit to a general decrease in energy, lately, but nothing specific. Her cardiopulmonary exam is within normal limits and lungs are clear. Vital signs are: Temperature 97.4o F, pulse 66 b.p.m. respiratory rate 16 b.p.m., and blood pressure 98/56 mm Hg. Office spirometry demonstrates normal airflows and volumes. A basic metabolic panel is as follows: Na+ 130 mEq/L, K+ 5.5 mEq/L, Cl-100 mEq/L, CO2 25 mEq/L, glucose is 74 mg/L, BUN 15 mg/dL and creatinine 0.08 mg/dL. The AGACNP considers which of the following potential etiologies?
Hypercortisolism
Hypothyroidism
Hypoadrenalism
Hyperpituitarism
4. Optimal pain management requires an accurate understanding of the physiology of pain. The AGACNP knows that a significant contributor to inflammatory pain is:
Inductive prostaglandin release
Neuropathy of nociceptors
Mechanical stimuli
Thermal stimuli