A 68 y/o Caucasian female has a routine vitamin D level of 18(target range is at least 30). Typical regimens to try to replete vitamin D could include all except:

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Question 1 of 5

A 68 y/o Caucasian female has a routine vitamin D level of 18(target range is at least 30). Typical regimens to try to replete vitamin D could include all except:

Correct Answer: A

Rationale: Excessive sunlight exposure without sunscreen increases skin cancer risk and is not a practical method for vitamin D repletion.

Question 2 of 5

A 35-year-old female presents with exertional dyspnea and fatigue. Physical examination reveals a harsh systolic murmur at the left sternal border. What is the most likely diagnosis?

Correct Answer: B

Rationale: A harsh systolic murmur at the left sternal border is characteristic of aortic stenosis.

Question 3 of 5

34 yo woman with history of a miscarriage 5 years ago presents with new right-sided hemiparesis and slurred speech for the past 2 hours Her symptoms slowly resolve while in the emergency department.

Correct Answer: D

Rationale: After a TIA, checking for both Protein C/S deficiencies and antiphospholipid antibodies is important to determine underlying hypercoagulable states.

Question 4 of 5

All are true except:

Correct Answer: A

Rationale: Serum M protein may be absent in non-secretory myeloma. Bence Jones proteins vary, bone scans miss lytic lesions (X-rays are better), and erythropoietin isn't first-line for all MDS.

Question 5 of 5

True or false: Initial treatment regimens for community-acquired pneumonia are empiric and epidemiological and clinical clues should be considered when selecting an empiric regimen.

Correct Answer: A

Rationale: This statement is true because initial treatment for community-acquired pneumonia is empiric, relying on epidemiological patterns and clinical presentation to guide antibiotic selection.

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