A 46 year old male patient arrives in the ER with the following symptoms:   Impaired mental status Anxiety Diaphoresis (sweating) Tremors Palpitations Tachycardia (rapid heart rate) Warm and moist skin The family member that is accompanying the patient states that the patient has also lost quite a bit of weight recently, without trying to do so. The family member does not live with patient, so is not a good historian, nor do they know the patient’s current med list. The ER physician orders lab testing and here are the significant results: Calcium level 11.1 mg/dL  (Normal:  8.5 – 10.2 mg/dL) Glucose 198 mg/dL  (Normal:  70 – 179 mg/dL NON-fasting) TSH:  < 0.4 mIU/L   (Normal:  0.5 - 5.0 mIU/L)  test is reflexing to a free T4 level. Can you guess if the free T4 level will be low or high?  

    Hypothyroidism                   Fill in the blanks – choose elevated or decreased in your answer boxes.   TSH T4 TRH      Primary _________ ________ ____[3}____                                                                                               

Treatments effective for acute pain often fail for chronic pain because:

  If you are writing a science fiction novel and want your characters to experience liquid-methane rain and hydrocarbon lakes, you should model the location on 

Regarding Vitamin D, the following statements are true, EXCEPT:

Addison’s Disease is a common name for what condition?

  The amount of electromagnetic energy emitted by a star in a specified amount of time is known as the star’s 

Which planet has little to no atmosphere?

A “Cushing’s workup” is ordered on a patient.  The following tests will be included, EXCEPT:

Cushing’s disease occurs when a benign tumor in the pituitary gland causes the pituitary gland to produce too much ____________________, the hormone responsible for cortisol production.