A 50 y/o female presents with 10 pound weight gain in one year. BMI= 32. Thyroid is small without nodule. Heart is regular at 50 bpm and lungs are clear. Pseudomyotonia of the deep tendon reflexes is demonstrated on physical examination. Which of the following is mostly likely decreased?

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Question 1 of 5

A 50 y/o female presents with 10 pound weight gain in one year. BMI= 32. Thyroid is small without nodule. Heart is regular at 50 bpm and lungs are clear. Pseudomyotonia of the deep tendon reflexes is demonstrated on physical examination. Which of the following is mostly likely decreased?

Correct Answer: B

Rationale: Pseudomyotonia is associated with hypothyroidism, where sodium levels are often decreased.

Question 2 of 5

A 50-year-old male with a history of smoking presents with sudden onset of tearing chest pain radiating to the back. A CT scan shows a dissection flap in the descending aorta. What is the most appropriate initial management?

Correct Answer: B

Rationale: A descending aortic dissection is managed medically with beta-blockers and blood pressure control to reduce shear stress on the aortic wall.

Question 3 of 5

68 yo woman presents to the ER with the acute onset of mild aphasia, mild pronator drift on the right, and mild right-sided facial weakness. BP 195/90 mm Hg.

Correct Answer: D

Rationale: Before initiating thrombolytic therapy, it's critical to confirm the diagnosis with a CT scan and check glucose levels to exclude hypoglycemia.

Question 4 of 5

An otherwise healthy 32 y.o. is seen in your office/ER soon after a cat bite. Typical of cat bites, the wound demonstrates several small puncture wounds that are not really amenable to irrigation or other wound care. Should you give an antibiotic? If so, which one would be considered a poor choice?

Correct Answer: A

Rationale: Cephalexin (Keflex®) is a poor choice because it doesn't cover Pasteurella multocida, a common pathogen in cat bites.

Question 5 of 5

Which of the following is a pulmonary complication of TB?

Correct Answer: D

Rationale: Hemoptysis, pneumothorax, and extensive pulmonary destruction are all recognized pulmonary complications of tuberculosis, making 'All of the above' correct.

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