After Hurricane Katrina exposed significant gaps in disaster response coordination, which office was created specifically to prepare for and respond to public health emergencies and disasters?

A Native American patient living on a federally recognized tribal reservation needs access to comprehensive health services. Which federal agency was specifically established to serve this population?

During a disease outbreak investigation, public health workers ask: Who got sick? What made them sick? And what in the environment allowed the disease to spread? This approach BEST reflects which framework?

A 55-year-old patient with hyperthyroidism is started on methimazole. After 4 weeks, he develops a sore throat and fever.  What is the most appropriate next step? 

Which of the following adverse effects is characterized by night-time insulin-induced hypoglycemic reaction with a rebound elevation in blood glucose levels?

A 35-year-old woman with newly diagnosed type 2 diabetes has an A1c of 8.2%. She is overweight and reports a sedentary lifestyle. Her physician recommends starting metformin. After 3 months of therapy, her A1c is still 7.8%, and she has gained 2 kg.  What is the next step in management?

Which medication is the drug of choice for initial treatment of Graves disease?

A 55-year-old man presents to the clinic for follow up.  He recently established care with you and he is returning to discuss labwork results.  He has an A1c of 9.5%. He is obese (BMI 32) and has a history of hypertension. He reports no symptoms. 1. What does an A1c of 9.5% indicate? 2. What is the most appropriate 1st line medication considering his profile? 3. Would your plan change if his creatinine was elevated?  4. What further diagnostics/testing/referrals would you suggest? 5. Patient education?

Mary is a 34 year old female with no significant past history presenting to the clinic for “my heart feels like its racing and I can’t tolerate the heat.”  Upon gathering history, she informs you for the past 3 months she has had the following: palpitations, unintentional weight loss, heat intolerance, anxiety/irritability, insomnia, frequent bowel movements, menstrual irregularities.  She does not take any medications but does take caffeine supplements occasionally for energy.  Vitals; BP 138/72, HR 112, RR 18, Temp 99.4.  Exam: mild exophthalmos, lid lag present, diffuse non-tender goiter, thyroid bruit present.  She is tachycardic with no murmurs with fine tremor of hands and hyperreflexia.  labs show TSH

The mechanism of action for sulfonylureas is/are: