Author Question: A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and ... (Read 68 times)

gonzo233

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A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months.
 
  On physical exam, the clinician notices a sinus bradycardia, muscular stiffness, coarse, dry hair, and a delay in relaxation in deep tendon reflexes (DTRs). Which of the following tests should be ordered next?
 
  a. Serum calcium
  b. Thyroid-stimulating hormone (TSH)
  c. Electrolytes
  d. Urine specific gravity

Question 2

A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of my feet feel like they are on fire. He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel.
 
  Which of the following would be an appropriate treatment?
 
  a. Tricyclic antidepressants
  b. Capsacin cream
  c. Vitamin B12 injections
  d. Insulin



juliaf

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Answer to Question 1

ANS: B

Answer to Question 2

ANS: A



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