A 47 year old male presents to the office for headaches that he has had for the past 6-7 months. He indicates the headaches start on the right side and they last for about an hour. He notes that his right eye will also tear when this occurs and he may experience congestion as well. He notes for a period of time, they will occur everyday and then he will go a month without them and then they return to daily again. What would be the best treatment for him?

A patient comes into the office for his diabetes. You advise the patient that you are going to start him on liraglutide and explain to this patient the medication works by the following:

A 37 year old female presents to the office for feelings of l dizziness and palpitations. She reports some weight loss and increased bowel movements. She has a past medical history of gerd and take protonix. She drinks 2-3 glasses of wine a week but denies smoking and drug abuse. On exam, you note the following: T: 98.8, HR 133, RR 12, BP 140/88; BMI 27 HEENT: Normal Cephalic head, sclerae and conjunctiva normal, mild protusion of the globes bilaterally, Tympanic Membrane is reflexive and clear, thyroid is normal CVS: S1 and S2, tachycardic no murmurs, rubs or gallops Lung: Clear bilaterally, no rales, rhonchi or wheezing Abdomen: soft, non-tender/non-distended and normal bowel sounds Extremities;no edema, normal sensation  The following are her fasting lab results:  Glucose 110 Electrolytes- normal WBC 6,000 Free T4- 2.3 ng/dL (Normal 0.7-1.5 ng/dL) T3- 0.9 ng/dL (Normal 0.2-0.5ng/dL) TSH 0.02mIU/L  (Normal 0.3-4.5 mIU/L)  What is the next best step for this patient?  

A 22 year old female presents to the office for complaints of rhinorrhea, sneezing, and watery eyes  for the past 3 weeks. She reports a cough and congestion that started 2 weeks ago. On exam you note that vital signs are stable, nares are swollen with watery discharge. The remainder of her exam is normal. What is the best treatment for her symptoms?

The underlying pathological basis of Multiple Sclerosis is best described as which of the following?

The initial treatment for a symptomatic patient with a TSH of 7.3 ( 0.3-4.5) and free T4 0.5 (0.7-1.5) would be:

¿Me lo traes? Match each question with the correct response.

Using the pictures as a guide, complete these superlative sentences.  supelative_1_.jpgsupelative2(1).jpg Elena es [BLANK-1][BLANK-2]alta[BLANK-3] las tres amigas. Jorge y Juan son [BLANK-4][BLANK-5][BLANK-6] todos. (oldest) Maribel es [BLANK-7][BLANK-8]estudiosa[BLANK-9] las tres amigas. Cristina es [BLANK-10][BLANK-11]jugadora de baloncesto[BLANK-12] las tres amigas.(best) Julio es [BLANK-13][BLANK-14]rubio[BLANK-15] todos.

Escoger Complete the following sentences by choosing the appropriate verb form.  Please type only the letter in the space provided. Cuando Marta [BLANK-1] niña, siempre jugaba con su hermano menor.                                             a. iban                 b. eran             c. iba                d. era Nosotros siempre [BLANK-2] en la cafetería el año pasado.                                                           a. comíamos        b. vivíamos      c. comían         d. vivían Yo [BLANK-3] enferma en Chile.                                                                                                         a. era                   b. estaba          c. eran              d. estaban Los profesores [BLANK-4] clases de historia y cultura.                                                                       a. enseñaba          b. aprendía       c. enseñaban    d. aprendían ¿[BLANK-5] ustedes pantalones y un suéter?                                                                                           a. Llevabas          b. Llamabas     c. Llevaban      d. Llamaban

Hoy no tengo nada que hacer, pero ayer… Today is Saturday and José Luis, a Chilean university student, is relaxing at home because he does not have to go to class. However, yesterday was different. Complete the following paragraph with the correct preterit form of the most logical verb from the word bank. volver salir almorzar desayunar estudiar beber despertarse llegar tocar bañarse Ayer (1)[BLANK-1][BLANK-2] un poco tarde, a las 7:30 de la mañana. Primero, (2)[BLANK-3][BLANK-4] rápidamente. Después de vestirme, (3)[BLANK-5] cereal con pan tostado y mantequilla. También (4) [BLANK-6] jugo de naranja y café con crema y un poquito de azúcar. Luego, (5) [BLANK-7] de la casa a las 8:15 para tomar el autobús a la universidad. (6) [BLANK-8] a la universidad unos minutos antes de mi primera clase de las 9:00, la clase de historia chilena. Al mediodía (7) [BLANK-9] en la biblioteca por dos horas con un amigo. A las dos (8) [BLANK-10] un sándwich y sopa en la cafetería con mis amigos. Después de hacer la tarea y leer un capítulo para mi clase de historia, (9) [BLANK-11] a mi casa a las 4:00 de la tarde. Después de ver la televisión y cenar con mi familia, (10)[BLANK-12] el piano por una hora antes de acostarme.