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A 45 year old female presents to your office with complaints of diarrhea, weight loss and sweating for the past 3 months. Her vital signs are as follows:  HR 115, BP 119/82., RR 12, SPO2 99% RA you note that her thyroid is enlarged.  You would like to evaluate her for a thyroid condition.  You order a TSH which is abnormal and then you order a Free T3 & T4.   Here are your lab results: TSH 0.2 mIU/L (normal  0.4-6 miU/L) Free T4 8.6 ng/dL (normal 0.7-2.0 ng/dl) Free T3 4.3 pg/dL (normal 2.3-4.2 pg/dL) Based on the above, the next logical step would be to order which of the following?

A 54 year old male presents to the office with diffuse right sided abdominal pain. He indicates that he is nauseated and has had 3 bouts of vomiting over the past 2 days. He reports that he recently went to Argentina for a humanitarian trip with his job and started getting sick on the way home.  He feels tired, weak and his wife mentioned that his skin coloring is a little yellowish. He is sexually active with his wife only and denies any transfusions or IV drug use. What lab test would be the most appropriate for this patient? 

Aoi is a second-year business student at Mason. She has wonderful English skills and her English was the best in her high school in her home country. She is currently writing a business memo for one of her classes. Though her English is good, she sometimes struggles with academic English, especially when it comes to writing. Her professor has been giving her grades of C and C- for her writing. She is so frustrated with all of this.  Her friend, Birgit, shows Aoi her business memo. Aoi needs better grades, therefore, she is tempted to adjust her memo to make sure her English is correct and copy Birgit’s academic writing in her memo. What should Aoi do to make certain she does not violate the honor code?

Syd is a first-year student. To fulfill her general education requirements, she enrolled in a geography class. Her mid-term assignment is to write a 5-page paper on earthquakes. The professor told the class that they could use outside resources but that they must cite all the information they use in their paper using APA citation style. If students didn’t know how to use APA citation style, they were encouraged to seek out help in the Writing Center. Syd is unsure of how to use APA citations and intends to write the paper like she did in high school where she always got good grades. Will Syd be in violation of the honor code if she does not use the APA citation style and improperly cites material she has used from another site?

You do not need to cite “common knowledge” such as folklore, general facts and events in history. An example of common knowledge would be that George Mason University is in Fairfax Virginia, or that World War II was fought between 1939-1945. 

You changed a few words in a quote so it is okay not to cite it.

Common causes of bacterial conjunctivitis include

Patients diagnosed with infectious mononucleosis 

A 34 year old female very busy real estate agent presents with nasal congestion, cough, itchy skin, watery eyes and sneezing for the past 2.5 weeks. She denies fever, chills, sore throat, nausea, vomiting or diarrhea. She has not taken any medication except for tylenol and ibuprofen which were not helpful for her. On exam, you note transverse nasal creases, nasal mucosal swelling with clear discharge, non-tender sinuses, erythematous tonsils bilaterally with post nasal drip. Her vital signs are normal. She denies smoking, alcohol and drugs.  What is the best tretament for her?

A 65 year old patient presents to the office for right sided headache on and off for the past several days. The patient notes that he also has double vision over the right eye and tenderness in his jaw when he is eating. He denies cough, congestion, runny nose, watery eyes.  On exam, you note tenderness over the right temporal side of his face but no lesions/rash, edema or erythema. His vision is 20/20 corrected with glasses. Based on this information, what is the most likely diagnosis?