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Case Study 1 (1-5) A 45-year-old patient presents with unexplained weight gain, fatigue, and cold intolerance. Lab results show elevated TSH and low T4 levels. Based on the patient’s symptoms and lab results, which of the following is the most likely diagnosis? 

A 45-year-old patient presents with unexplained weight gain, fatigue, and cold intolerance. Lab results show elevated TSH and low T4 levels.   Complete the following statement by selecting the correct options: The [A] [elevate/decrease] TSH level indicates that the [B] [hypothalamus/pituitary gland/thyroid gland] is attempting to [C] [stimulate/suppress] thyroid hormone production in response to [D] [high/low] circulating thyroid hormone levels.

A 55-year-old patient with a history of alcohol abuse presents with hematemesis, melena, and signs of shock. Which of the following is the most likely source of bleeding in this patient? 

A 70-year-old patient is admitted to the emergency department with fever, tachypnea, hypotension, and altered mental status. Blood cultures are positive for gram-negative rods.   Based on the patient’s presentation, which of the following is the most likely diagnosis?

A 45-year-old patient presents with unexplained weight gain, fatigue, and cold intolerance. Lab results show elevated TSH and low T4 levels.   Which of the following additional symptoms would you expect to find in this patient? Select all that apply.

Bonus Question: What does this image depict?

Speech motor studies have reported that PWS tend to have an abnormally large tongue that interferes with its proper positioning for speech production causing disfluencies as the person struggles to move on.

In the initial parent interview concerning a preschool child who stutters, the question “When exactly did stuttering begin?” has the most direct implications to

What type of medication should a PTA be mindful of that can result in decreasing the HR (at R and E), BP (at R and E), and energy demands of the heart?

Hypertension is the most prevalent cardiovascular disease. Briefly explain essential and nonessential hypertension.