Blog

A 46-year old female  with a history of hypertension, hyperlipidemia, prediabetes, morbid obesity (BMI 44), depression and OA of the knees,  presents for a routine check up.  Her most recent lab work shows a fasting plasma glucose = 152 and HbA1c = 6.8.  She is very frustrated with her inability to lose weight over the years.  She has tried Weight Watchers and most recently the Noom weight loss plan (It was too expensive and she gained the weight back).  Due to her knees and her weight, she is unable to walk any significant distance.   She is adamantly opposed to gastric bypass as she has a good friend “who went through all that and then gained the weight back.”   The NP discusses the recent promising medication-assisted weight loss data and the drug that will also control the diabetes.  After discussing all the options, benefits and risks, the NP will prescribe 

Which of the following relationships can, in certain circumstances, change to become harmful over time?

A 32 year old female, Gravid 0, has not had a period in 4 months, has noticed some clear fluid from her right nipple over the last couple months and has not become pregnant in the last year despite no contraception.  The nurse reports a negative urine pregnancy test.  When ordering lab tests, the NP suspects to find 

A 28 year old female with a history of hypothyroidism, and who is a probation officer, presents to the office with a one month history of “shaking in my hands”.  She tells the NP she is concerned because she carries a weapon and is worried her target skills will be affected. She also relates her brother “has the shakes too” but he never went to see a health care provider. The most likely diagnosis is:

Mrs. L, a 74-year old patient presents for her 6 month check up for controlled hypertension, hypercholesterolemia, and mild chronic depression.  She mentions she has had fleeting episodes of vision loss in her right eye and has been getting right temporal-parietal headaches and sharp pain when chewing.  On exam, the NP finds a tender, firm right temporal artery.  The most appropriate order to confirm the likely diagnosis is: 

The Functional Reach Test is a quick screening test for determining fall risk in the older adult.  What result indicates that the individual is at high risk for falls?

The earth’s average reflectivity, or ____, is about 30%

Health literacy is defined as  

Natural gas and oil production in the United States has increased over the past two decades primarily due to the widespread use of ____.

Which evolutionary mechanism was described in class as random and being the prerequisite for the other evolutionary mechanisms?