You are seeing an adolescent male who presents with c/o “enlarged” breast. When is referral to endocrinology indicated in a male patient with gynecomastia?

The most frequently encountered generalized seizure presents as a sudden, tonic stiffening of muscles and is often associated with stridor or an ictal cry, and the patient falls to the ground in a tonic state. What is the name of this type of seizure?    

Bihn, 25 yo, presents with costovertebral tenderness and a several-day history of high fever, chills, and dysuria. Given this information which of the following is your most likely diagnosis?

The goal of the management of GERD includes all of the following except:

*Megan presents with RUQ abdominal pain and she has a positive Murphy’s sign. You are suspecting that Megan is experiencing issues with her gall bladder.  What radiological test would you initially order?

Jessie, age 29, experiences photophobia about 20 minutes before experiencing severe headaches.  The headaches are unilateral and throbbing along with nausea. How would you describe her headache?Jessie, age 29, sees flashing lights 20 minutes before experiencing severe headaches in addition to nausea. How would you describe her headache?

Mr. Resch, 55, was diagnosed with hyperlipidemia six months ago.  He declined medications & has been exercising regularly and has changed to a low fat diet.  Results of his fasting lipid panel last week are: Total cholesterol – 202, LDL – 176, HDL 33, and VLDL 22. His 10 year risk of major CV event is 12.1%. Which of the following would be the most appropriate class of medication to prescribe for Mr. Resch’s hyperlipidemia?

MJ, 55y/o, started Atorvastatin about 1 mo ago.  She has a f/u today in clinic and she reports that she is having muscle pain and darker urine since starting the drug. What would you do FIRST?

*Alan, an 18 year old male, has an elevated B/P reading while in the office for a shoulder injury. B/P is 144/92. Mom and dad both have hypertension. Your next action is to:

Karl Jones, a 60-year-old male presents to your clinic with a chief complaint of an enlarged scrotum. During your exam you use a penlight to transilluminate the scrotum.  You diagnose a hydrocele based on which of the following findings.