What is the most appropriate imaging test for suspected gallstones?  

A 50 year old woman presents for evaluation of a goiter. Laboratory results show: TSH: 5.0 mIU/L (normal range 0.4-4.0 mIU/L), free T4: 1.0 Ng/L (normal range: 0.8-2.0Ng/L), thyroid antibodies: positive for anti-TPO antibodies. What is the most likely diagnosis?

a 62-year-old woman presents to the clinic with complaints of brief episodes of dizziness and a sensation of spinning that occurs when she turns her head or gets out of bed. She notes that these episodes last for about 30 seconds and are accompanied by nausea but not by any hearing loss. The NP suspects benign paroxysmal positional vertical (BPPV) and decides to perform a clinical test to confirm the diagnosis. Which of the following tests is most used to diagnose BPPV?

A 45-year-old woman presents to the clinic with complaints of progressive hearing loss in her right ear over the past six months. She also reports experiencing occasional dizziness and a persistent ringing in her right. An examination, the provider notes abnormal ear exam but suspects an issue with the inner ear. An MRI is ordered and the results reveal a mass on the right vestibulocochlear nerve. What is the most likely diagnosis for this patient based on her symptoms and MRI results?

A 50-year-old man visits the clinic for evaluation of abnormal liver function tests noted during a routine screening. He has a history of heavy alcohol use and reports no significant symptoms but is concerned about his liver health. Laboratory tests are ordered, and the following results are obtained: – Alanine aminotransferase (ALT): 95 U/L (normal: 7-56 U/L) – Aspartate aminotransferase (AST): 85 U/L (normal: 10-40 U/L) – Total bilirubin: 1.2 mg/dL (normal: 0.1-1.2 mg/dL) – Hepatitis C antibody (Anti-HCV): Positive – HCV RNA (Polymerase Chain Reaction): 1,000,000 IU/mL Based on these results, what is the most appropriate next step in management?  

A 45 year old woman with a history of Hashimoto’s thyroiditis presents for routine follow up. She reports feeling well but has gained 10 lbs over the last three months. For laboratory tests show elevated TSH and decreased free T4. What is the most appropriate management for this patient?

A 50-year-old woman visits her primary care provider for evaluation of fatigue and weakness that have been worsening over the past few months. During the visit the blood count and iron studies. The lab results show the following: Hemoglobin: 10.5 g/dL (normal range 12.1-15.1 g/dL), mean corpuscular volume MCV: 70 FL (80-100 fL), serum ferritin: 8 ng/mL (20-200 ng/mL), serum iron: 30 mcg/dL (10.7-30.4 mcg/dL), and total iron binding capacity TIBC: 400 mcg/dL (240-450 mcg/dL). Based on these lab results, which of the following findings is most indicative of iron deficiency anemia in this patient

A 32-year-old woman is in her second trimester of pregnancy. Which vaccine is contraindicated? 

A 40-year-old is her primary care provider for meeting health check. She mentioned that she has recently started a new job in a healthcare setting and is concerned about potential exposure to infectious diseases. She has no history of hepatitis B vaccination and is unaware of her hepatitis B status. The provider considers the appropriate recommendations for her. When should hepatitis B screening be recommended for this patient?

According to the National Heart, Lung and Blood Institute (NHLBI), a normally healthy 12 year old should undergo lipid screening: