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Diagnose the following patient. Make sure to provide evidence as to why you feel they have that disorder. Also, include a treatment plan.    Mina, a 20-year-old sophomore living in campus housing, has been struggling for about 9 months with intrusive thoughts and repetitive behaviors centered on cleanliness and safety. She worries that failing to complete certain rituals could harm others or herself, and she often feels compelled to perform these rituals to reduce intense anxiety.  Obsessions: Fear of germs and contamination from touching doors, elevator buttons, or shared surfaces.  Fear of leaving a stove on or a door unlocked, which could lead someone being harmed.  Worries that she might accidentally cause harm if she forgets to repeat a task or phrase a certain way.  Compulsions:  Hand-washing for 15-20 minutes after class or touching public surfaces.  Repeatedly checking doors and windows 5-8 times before leaving her dorm or going to class.  Arranging books and supplies in a precise order and re-reading notes multiple times to “feel right.” Repeating a neutralizing phrase or counting steps to prevent bad outcomes.  These symptoms occupy about 2-3 hours a day and have caused her to miss some classes, cancel study groups, and withdraw from campus events. Mina recognizes the obsessions as ego-dystonic (unwanted and distressing) but feels unable to stop the rituals without a surge of anxiety. There is no clear medical illness or substance use that explains the symptoms, and there is no history of trauma reported. 

Willow is a 67-year-old female and her bone mineral density is t-score is -1.2. What is her diagnosis?

Your patient recently had a dexa scan and the T-score was -2.6 of the hip.  Based on the bone denisty you diagnose patient with which condition?

A 27-year-old female presents to the office with the chief complaint of fatigue for 4 months. She has gained 17 lb in that same time, despite a decreased appetite. She also complains of depression, increased sleepiness, lack of energy, hair loss, and cold intolerance. Her past medical history is unremarkable, and she takes no medications. She has never had any surgeries. She did a little Internet research, and according to Dr. Oz, she might have a thyroid problem. Which of the following physical examination findings would be expected?

A 32-year-old male presents complaining of severe anxiety. For the last 4 months, he has had difficulty sleeping, progressively worsening anxiety, a 25-lb weight loss, and constantly feels “too warm.” He feels “shaky” and has difficulty concentrating. He denies diarrhea, but reports having normally shaped stools four to five times per day—more than usual for him. The patient denies neck or eye discomfort and has not noticed any neck swelling. He has no other significant medical history. His mother, who died 3 years ago from coronary artery disease (CAD), had a “thyroid problem,” but he doesn’t know any details. Physical examination reveals an anxious young adult male. He has a noticeable resting tremor. You note mild exophthalmos, conjunctival injection, and lid lag. His thyroid is diffusely, mildly enlarged, is non-tender, and a bruit is audible over the gland. The cardiac examination reveals tachycardia with a flow murmur. The rest of the examination is unremarkable. What is the most likely diagnosis?

You are seeing a 45-year-old female who is a nursing assistant at a local nursing home. As part of a life insurance mandated blood panel, the patient’s TSH is noted to be elevated at 7.2 μIU/mL (0.27–4.20 μIU/mL). She has a normal free T4 and is asymptomatic. You repeat the labs, with very similar results. The best option is to:

Which of the following conditions are commonly related to obesity?

Scott works for a regional brokerage firm. He estimates that Walkton Industries will increase its dividend by US$1.50 a share during the next year. He realizes that this increase is contingent on pending legislation that would, if enacted, give Walkton a substantial tax break. The US representative for Walkton’s home district has told Scott that, although she is lobbying hard for the bill and prospects for its passage are favorable, concern of the US Congress over the federal deficit could cause the tax bill to be voted down. Walkton Industries has not made any statements about a change in dividend policy. Scott writes in his research report, “We expect Walkton’s stock price to rise by at least US$8.00 a share by the end of the year because the dividend will increase by US$1.50 a share. Investors buying the stock at the current time should expect to realize a total return of at least 15% on the stock.” According to the Standards:

Which of the following characteristics distinguish South Florida slash pine from the Central Florida slash pine? (SELECT ALL THAT APPLY)

Which of the following communities is/are associated with poor-draining, acidic, sandy soils: