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Your 52-year-old female patient is being seen for a follow-up on hypothyroidism and weight management. She was prescribed levothyroxine (Synthroid) 75mcg daily one year ago. Her last TSH result 3 months ago was 4.8. Today the patient’s TSH is 8.8 mU/L. What is the NP’s conclusion?

The most common clinical manifestation of systemic anaphylaxis is:

A.R., age 59, is a postmenopausal woman, who presents to your office complaining of vaginal dryness. She has been sexually active with a new partner and says penetration is very painful. She has tried OTC lubricants but has not found one that works. PMH: controlled hypertension. After examination and wet prep, you diagnose her with atrophic vaginitis. Which of the following is true about best practice treatment options?

In counseling a postmenopausal woman, the NP advises her that hormone therapy users may experience:

Sarah is reluctant to provide consent for her 17-year-old son to receive a meningitis vaccination before attending college. Sara feels that that her son is protected due to herd immunity. Herd immunity is considered:

Signs and symptoms associated with the diagnosis of interstitial cystitis include:

A 66-year-old male arrives at the office today without an appointment. He appears quite anxious and pale and is complaining of an aching pain across his sternum that radiates to his L jaw and down the L arm at times.  It started about an hour ago and awakened him from sleep. He took an anti-acid and acetaminophen, but they did not seem to help. His blood pressure is 160/90, and HR is 98.  What is your priority differential diagnosis?

 Animals that are produced as a result of random matings are referred to as ________________________.

Change 75% to a decimal [A] and as a fraction [B].

Explica la diferencia entre GOTEO, MOCO y FLEMA en el contexto de síntomas respiratorios (en español)