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Laboratory results on a 57 year old female with a history of rheumatoid arthritis are as follows: hemoglobin 10.5 g (low), hematocrit 33% (low), MCV -88mm3 (normal) and serum ferritin is 110 (normal). The remaining laboratory results are within normal limits. The nurse practitioner diagnoses this patient with:

A complication of chronic GERD is

Identify the common presentation findings consistent for a child with idiopathic thrombocytopenia purpura:

According to the USPSTF, which statement below is true regarding the screening for colon cancer?

Mr Green is a 57 year old male with no chronic medical conditions. He has had “heartburn” on and off for “several years”. You note he sounds hoarse which he explains is not a problem as he has had hoarseness off and on for a long time. He has usedomeprazole (Prilosec) and antacids with no improvement. What is your next course of action?

Leukocytosis greater than 100,000 per mm3 is almost always caused by:

A pediatric patient presents with abdominal cramping and constipation with blood in stool. The examination reveals tenderness near the umbilicus. What is the most likely diagnosis?

The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least:

A 46 year old man with depression who has been taking Citalopram (Celexa) for 5 weeks complains of new onset sexual dysfunction and difficulty achieving orgasm. You advise him that:

A 38 year old female presents with complaints of recurrent, intermittent diarrhea and abdominal pain. The pain and diarrhea do not seem to be linked to any specific food intake and she denies blood in the stool. What other factor can help diagnose IBS as the cause of the diarrhea and abdominal pain?