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Author Archives: Anonymous

An asymptomatic patient is found to have bacteriuria on a ur…

An asymptomatic patient is found to have bacteriuria on a urine dipstick. Antibiotic therapy is appropriate if the patient:

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A 34-year-old otherwise healthy woman presents to your prima…

A 34-year-old otherwise healthy woman presents to your primary care office with a 2-day history of dysuria, urinary urgency, and urinary frequency that has progressed to fever, chills, nausea, and left-sided flank pain. She is alert, well hydrated, and able to tolerate oral fluids. Vital signs are as follows: temperature 100.8°F, blood pressure 118/72 mmHg, heart rate 92 bpm, respiratory rate 16 breaths/min, and oxygen saturation 99% on room air. Physical examination demonstrates left costovertebral angle tenderness. Urinalysis reveals positive nitrites, positive leukocyte esterase, pyuria, bacteriuria, and WBC casts. A urine culture is obtained before initiating treatment. Which of the following is the most appropriate antibiotic selection?

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A 40-year-old woman is newly diagnosed with hyperthyroidism….

A 40-year-old woman is newly diagnosed with hyperthyroidism. During the visit she asks whether her eye irritation and “bulging eyes” are related to her thyroid condition. Which diagnosis best explains these findings?

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A 69-year-old man with hypertension and stable coronary arte…

A 69-year-old man with hypertension and stable coronary artery disease is newly diagnosed with primary hypothyroidism. His calculated full replacement dose is approximately 120 mcg/day. Which initial levothyroxine prescription is most appropriate?

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A 56-year-old man with obesity and diabetes has mildly eleva…

A 56-year-old man with obesity and diabetes has mildly elevated AST and ALT levels. Ultrasound demonstrates hepatic steatosis. Hepatitis testing is negative, and alcohol use is minimal. Which diagnosis is most likely?

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A 56-year-old man presents with a 3-day history of fatigue,…

A 56-year-old man presents with a 3-day history of fatigue, decreased urine output, and dark-colored urine. He denies dysuria, urinary frequency, urgency, or flank pain. Two weeks ago, he completed treatment for streptococcal pharyngitis. His blood pressure is 168/94 mmHg, and physical examination demonstrates bilateral lower extremity edema. Laboratory studies reveal: Urine dipstick: 3+ blood, 2+ protein, negative nitrites, negative leukocyte esterase Urine microscopy: Dysmorphic RBCs, numerous RBC casts, no bacteria Urine culture: No growth after 48 hours Serum creatinine: 2.6 mg/dL (baseline 0.9 mg/dL) eGFR: 29 mL/min/1.73 m² UACR: 620 mg/g Based on these findings, what is the most appropriate next step?

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Rehabilitation focuses on:

Rehabilitation focuses on:

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A reform proposal should be evaluated most carefully by aski…

A reform proposal should be evaluated most carefully by asking:

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Deterrence seeks to:

Deterrence seeks to:

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Police accountability refers to:

Police accountability refers to:

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