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An 82 year-old patient presents with new onset depression. The family reports that the patient always had a positive outlook on life and until recently was socially active, slept and ate well, and was adored by her grandchildren. Her history and physical exam reveal weight gain, constipation, dry skin, and sluggish reflexes. What is the most likely cause of her new onset depression?

A 67-year-old man with a PMH of hypertension, high cholesterol and diet-controlled diabetes presents to the primary care office for the first time in 3 years. He has let his prescription medications run out over 2 years ago and he has no complaints. His vital signs are BP:160/90 mm/Hg, HR: 88 and reg. Other than a systolic ejection murmur at the right intercostal space that radiates to the neck the physical exam is normal. On review of systems he does admit to intermittent lightheadedness when climbing steps for the past 3 weeks but no syncope, chest pain, shortness of breath or leg swelling. Based on his physical exam and ROS what is the next logical step?

Which of the following is a well known side-effect of angiotensin-converting enzyme (ACE) inhibitors?

Which of the following Mycobacterium species is responsible for causing tuberculosis in humans?

Which of the following forms of Dwarfism are often fatal?

A person who is overweight and presents with depressive disorder symptoms should be tested with which of the following to rule out a potential organic cause of the depression?

A 75-year-old male has been brought to your ER following a syncopal episode while moving furniture. He relates a history of similar episodes. EKG reveals left ventricular hypertrophy but is otherwise normal. Physical exam is remarkable for a systolic murmur which radiates to the carotid arteries. This suggests:

Which of the following is NOT associated with COPD on patient history?

A 25-year-old female presents to the office after visiting the emergency room over the weekend. She recently had surgery for a broken ankle but developed a fever, felt like her heart was racing, and was very anxious. Upon presentation to the ER, she was found to have a TSH of 0.8 and was diagnosed with thyroid storm. She is unaware of any thyroid history but hasn’t felt “right” for the past year, reporting weight loss, fatigue, and tremors. She was treated for the storm and referred to you. Which of the following is she likely to have that has not yet been diagnosed?

A patient with a shoulder disarticulation requires an excursion amplifier in their body-powered system due to their lack of biscapular abduction.  Where in the system would the pulley serve this function?