A 48-year-old female presents to the office complaining of easy bruising. She was recently in the ICU with severe diarrhea due to a flare of her ulcerative colitis, during which she lost 15 pounds, had difficulty eating, and was on total parenteral nutrition. Which of the following vitamin deficiencies is likely the cause of this patient’s bruising?

A 34-year-old female is being admitted to the med/surg floor of the hospital for an exacerbation of asthma.  Which of the following peak flows is suggestive of the exacerbation being severe? A peak expiratory flow rate (PEFR) or forced expiratory volume in the first second (FEV 1) that:

Which of the following forms of Dwarfism are often fatal?

A 50-year-old male patient with no previous history of mental health problems presents with depressive symptoms. He reports recently being placed on a medication for his newly diagnosed hypertension and notes that his sadness started shortly after starting this medication. Which of the following class of medications is the most likely cause of his new symptoms?

A 67-year-old man has had progressive dyspnea for the past 2 years with cough productive of small amounts of white sputum on most days of the week. The cough and shortness of breath sometimes awaken him from sleep. His past medical history is significant for hypertension and glaucoma. He has a 40 pack-year history of smoking and drinks 1-2 beers on weekends. Physical examination reveals prolonged expiration, wheezes and rhonchi over both lung fields. No peripheral edema is noted. Chest radiograph shows hyperinflation. Which of the following is the most likely diagnosis?

A 15-year-old girl is being evaluated for a heart murmur. She is asymptomatic. On physical examination, her blood pressure is 174/104 mm Hg on her right arm. Her pulses are 2+ on her upper extremities. The femoral pulses are slightly lower in amplitude than the radial pulses. Her cardiac examination reveals a short midsystolic murmur in the left infrascapular area. For this patient, which of the following is most likely to be found on additional studies?

A patient who presents with generalized anxiety and agitation with hypertension should have which of the following laboratory test performed to rule out a potential organic cause of the anxiety?

Which of the following describes the role of the renin-angiotensin-aldosterone system (RAAS) in exacerbating heart failure?

The baroreceptor reflex, when activated in response to acute blood loss, results in which of the following?

As “Howie’s” condition deteriorated, the DVM request to obtain an ECG. Which of the following accurately describes the information an ECG will provide the DVM about “Howie”: