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:

A 34-year-old man presents to the outpatient setting for a recurring skin condition. He reports developing a recurrence of painful, red pustules and papules in his armpits. He has had two lesions drained in the past and has been treated before with antibiotics. His past medical and social history is significant for obesity and tobacco use. What is the patient’s most likely diagnosis?

A 68-year-old man visits his primary care nurse practitioner for a routine check-up. On examination, the NP notes a grayish-white ring encircling the cornea of both eyes. The patient has a history of hypertension and hyperlipidemia but is otherwise healthy. The patient is concerned about the appearance of his eyes and asked the NP what this condition indicates. What is the most likely diagnosis for the presence of this ring around the cornea?

A 65-year-old man presents to his primary care physician with complaints of sudden onset of flashes of light in his left eye, followed by the appearance of the dark curtain or shadow that seems to be moving across this vision. He reports that he also experienced some floaters in that eye over the past. He has a history of myopia and is concerned about his vision. What is the most appropriate next step in the management of this patient?