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A 20-year-old African American woman presents to the emergency department with severe, sudden-onset chest pain and shortness of breath. She also reports generalized fatigue and joint pain. She has a known history of chronic anemia but has not followed up with a primary care provider in over a year. On exam, she is tachycardic, tachypneic, and has mild scleral icterus. Oxygen saturation is 91% on room air. Laboratory studies show: Hemoglobin: 7.9 g/dL (low), Reticulocyte count: 10.2% (high), MCV: 96 fL (normal), LDH: elevated, Indirect bilirubin: elevated, Haptoglobin: undetectable. What is the most likely diagnosis?

A 63-year-old client with uncontrolled type 2 diabetes is confused about their medications. They also mention feeling tired, skipping meals, and having difficulty managing their blood sugars at home. The team includes an NP, a pharmacist, a dietitian, and a social worker. Which of the following best reflects how the NP can lead a team-based care approach in this case?

A 45-year-old man presents with fatigue, painless swelling in his neck, and a 15-pound unintentional weight loss over two months. He reports night sweats and intermittent fevers. On physical exam, he has firm, non-tender cervical lymphadenopathy. CBC shows a normal white blood cell count. What is the most likely diagnosis?

A 68-year-old woman with a recent shingles outbreak reports persistent burning pain in a dermatomal distribution along her left rib cage that has continued several weeks after symptom onset. She finds clothing uncomfortable on the area. Which treatment is most appropriate to initiate?

A 39 year old male patient reports deep shoulder pain that has gradually worsened over the past few months. He notes that over head motions and reaching behind his back worsen the pain. On physical examination, you note a positive lift-off and belly-press test. You suspect the patient has:

During a patient’s physical examination, you note that she has scars on her fingers and enamel loss on the back of her teeth. Her potassium runs chronically low. You ask the patient if she ever purges after eating and she notes that she does, but that she is in counselling for it at this time. What other services could you consider to support your patient?

A 32-year-old man says he often checks if his stove is off—sometimes 20 to 30 times before leaving the house. He knows it’s irrational, but says “it doesn’t feel safe” unless he checks repeatedly. What condition should you consider?

A 33 year old male presents to clinic due to recent increase in thirst and appetite. He reports a FMH of DMII and hypertension. On exam you note his BMI is within normal limits, BP is 110/76, and random BG is 280. You decide to order the following labs: (SELECT ALL THAT APPLY)

Which similarity (distance) metric is commonly used in the K-Means clustering algorithm?

Your term-document matrix has 1000 terms. Which of the following fully connected Artificial Neural Networks would need the fewest number of parameters?