Which of the following are considered to have a high atomic # (Z) ?  may be more than one correct answer; select all that apply

Tess is taking an AP Lumbar spine image and does not apply collimation.  Dawn is also taking an AP Lumbar spine image, but applies adequate side-to-side collimation.  Which of the following is true regarding Dawn’s image?

A 33-year-old female comes to the office of her primary care physician complaining of fatigue, weight gain, and non-specific aches and pains for the last year or so. She denies fever, cough, abdominal pain, dysuria, or visual changes but has had constipation recently. She feels increasingly tired day by day. Her weight gain of approximately 10 pounds in the last year has made her depressed and tired. Her best friend repeatedly tells her that her voice is deeper and raspier on the phone. On further questioning by her doctor, she admits to cold intolerance.   Vital signs: T: 96°F, HR: 56/min, BP: 110/70 mm of Hg. HT: 5’3″ WT: 156 pounds. Heart sounds are RRR S1S2 without murmurs, rubs or gallops; Lungs are clear to auscultation in all lung fields; Abdomen is soft, non-tender, non-distended, with no organomegaly; Skin appears somewhat dry and scaly, and her hair is coarse.    Laboratory testing is ordered and results are pending.  Which of the following test results would you expect to find in this patient?

Which of the following clinical findings is characteristic of Osgood-Schlatter disease?

A 42-year-old man presents to the emergency department with complaints of fever, headache, joint pains, and a dry cough for the past six days. Three days ago, he started developing dyspnea. He has a recent medical history of gastroesophageal reflux disease for which he takes famotidine. The patient lives in Ohio and has never traveled outside the country. Vitals show a temperature of 38.1°C (101°F), respirations of 22/min, a pulse of 105/min, and blood pressure of 100/60 mmHg. Physical examination reveals tender nodules on his shins, bilaterally. Pulmonary examination reveals bilateral crackles. Which of the following may be seen on a chest x-ray of this patient?

A 64-year-old male presents with scrotal swelling; he has had the swelling for the past few months. It is not bothering him, but his wife wants him examined. His PMH is not significant for any other GU history or symptoms.  A genitourinary examination reveals a right hydrocele.  Which of the following physical examination findings would support this diagnosis?

A 60-year-old patient presents with acute unilateral visual loss.  Funduscopic examination reveals a cherry-red spot on the fovea, pale optic disc, retinal edema, and ‘boxcar’ appearance of the retinal veins.  Which of the following conditions is the most likely diagnosis for this patient? 

A 3-year-old boy is brought to your outpatient clinic. His parents are worried about the delayed language development and the child always appears to be “in his own little world.” You are told that his previous doctor had diagnosed the child with autism spectrum disorder and the parents are here for a second opinion. When observing the child, the presence of which of the following clinical findings most closely correlates with autism spectrum disorder?

Which of the following statements best describes the genetic mutation which results in sickle cell anemia?    

A 22-year-old nulligravida female whose last menstrual period was 2 weeks ago, presents to your office with a 3-day history of profuse malodorous gray vaginal discharge. She has also noted mild pelvic pain during the same period of time. She is sexually active with 2 male partners and states that she “uses condoms occasionally.” On wet mount, motile protozoans and white blood cells are noted.  The patient is noted to have a ‘strawberry cervix’ on examination.  She has no known drug    allergies.  Based on this information, which of the following medications is the recommended treatment for this patient?