A 37 year old female presents to the office for feelings of l dizziness and palpitations. She reports some weight loss and increased bowel movements. She has a past medical history of gerd and take protonix. She drinks 2-3 glasses of wine a week but denies smoking and drug abuse. On exam, you note the following: T: 98.8, HR 133, RR 12, BP 140/88; BMI 27 HEENT: Normal Cephalic head, sclerae and conjunctiva normal, mild protusion of the globes bilaterally, Tympanic Membrane is reflexive and clear, thyroid is normal CVS: S1 and S2, tachycardic no murmurs, rubs or gallops Lung: Clear bilaterally, no rales, rhonchi or wheezing Abdomen: soft, non-tender/non-distended and normal bowel sounds Extremities;no edema, normal sensation  The following are her fasting lab results:  Glucose 110 Electrolytes- normal WBC 6,000 Free T4- 2.3 ng/dL (Normal 0.7-1.5 ng/dL) T3- 0.9 ng/dL (Normal 0.2-0.5ng/dL) TSH 0.02mIU/L  (Normal 0.3-4.5 mIU/L)  What is the next best step for this patient?  

A 22 year old female presents to the office for complaints of rhinorrhea, sneezing, and watery eyes  for the past 3 weeks. She reports a cough and congestion that started 2 weeks ago. On exam you note that vital signs are stable, nares are swollen with watery discharge. The remainder of her exam is normal. What is the best treatment for her symptoms?

The underlying pathological basis of Multiple Sclerosis is best described as which of the following?

The initial treatment for a symptomatic patient with a TSH of 7.3 ( 0.3-4.5) and free T4 0.5 (0.7-1.5) would be:

¿Me lo traes? Match each question with the correct response.

Using the pictures as a guide, complete these superlative sentences.  supelative_1_.jpgsupelative2(1).jpg Elena es [BLANK-1][BLANK-2]alta[BLANK-3] las tres amigas. Jorge y Juan son [BLANK-4][BLANK-5][BLANK-6] todos. (oldest) Maribel es [BLANK-7][BLANK-8]estudiosa[BLANK-9] las tres amigas. Cristina es [BLANK-10][BLANK-11]jugadora de baloncesto[BLANK-12] las tres amigas.(best) Julio es [BLANK-13][BLANK-14]rubio[BLANK-15] todos.

Escoger Complete the following sentences by choosing the appropriate verb form.  Please type only the letter in the space provided. Cuando Marta [BLANK-1] niña, siempre jugaba con su hermano menor.                                             a. iban                 b. eran             c. iba                d. era Nosotros siempre [BLANK-2] en la cafetería el año pasado.                                                           a. comíamos        b. vivíamos      c. comían         d. vivían Yo [BLANK-3] enferma en Chile.                                                                                                         a. era                   b. estaba          c. eran              d. estaban Los profesores [BLANK-4] clases de historia y cultura.                                                                       a. enseñaba          b. aprendía       c. enseñaban    d. aprendían ¿[BLANK-5] ustedes pantalones y un suéter?                                                                                           a. Llevabas          b. Llamabas     c. Llevaban      d. Llamaban

Hoy no tengo nada que hacer, pero ayer… Today is Saturday and José Luis, a Chilean university student, is relaxing at home because he does not have to go to class. However, yesterday was different. Complete the following paragraph with the correct preterit form of the most logical verb from the word bank. volver salir almorzar desayunar estudiar beber despertarse llegar tocar bañarse Ayer (1)[BLANK-1][BLANK-2] un poco tarde, a las 7:30 de la mañana. Primero, (2)[BLANK-3][BLANK-4] rápidamente. Después de vestirme, (3)[BLANK-5] cereal con pan tostado y mantequilla. También (4) [BLANK-6] jugo de naranja y café con crema y un poquito de azúcar. Luego, (5) [BLANK-7] de la casa a las 8:15 para tomar el autobús a la universidad. (6) [BLANK-8] a la universidad unos minutos antes de mi primera clase de las 9:00, la clase de historia chilena. Al mediodía (7) [BLANK-9] en la biblioteca por dos horas con un amigo. A las dos (8) [BLANK-10] un sándwich y sopa en la cafetería con mis amigos. Después de hacer la tarea y leer un capítulo para mi clase de historia, (9) [BLANK-11] a mi casa a las 4:00 de la tarde. Después de ver la televisión y cenar con mi familia, (10)[BLANK-12] el piano por una hora antes de acostarme.

Johnny was 35 years old when he inherited an IRA from his mother, who died prematurely at age 60 this year. Which of the following statements is correct regarding his options for the inherited IRA?Johnny does not have to take distributions until he turns 75 years old.Johnny can rollover the IRA into his own IRA.Johnny must take out the entire account value within 10 years.Johnny can take distributions over his single life expectancy.Johnny was 35 years old when he inherited an IRA from his mother, who died prematurely at age 60 this year. Which of the following statements is correct regarding his options for the inherited IRA?

Mindy, who died this year at age 44, had two IRAs. She named her twin sister, Martha, beneficiary of one IRA and Martha’s daughter, Maggie (age 20), as beneficiary of the second. Which of the following statements is correct?Martha must distribute the full account by December 31st of the year containing the 10th anniversary of Mindy’s death.Maggie must take annual distributions with full distribution of the account by the end of the year containing the 10th anniversary of Mindy’s death.Martha can distribute the inherited IRA over her life expectancy.Maggie can distribute the inherited IRA over her life expectancy.Mindy, who died this year at age 44, had two IRAs. She named her twin sister, Martha, beneficiary of one IRA and Martha’s daughter, Maggie (age 20), as beneficiary of the second. Which of the following statements is correct?