An enriched food is

A 28 year old female with a history of hypothyroidism, and who is a probation officer, presents to the office with a one month history of “shaking in my hands”.  She tells the NP she is concerned because she carries a weapon and is worried her target skills will be affected. She also relates her brother “has the shakes too” but he never went to see a health care provider. The most likely diagnosis is:

A 32 year old female, Gravid 0, has not had a period in 4 months, has noticed some clear fluid from her right nipple over the last couple months and has not become pregnant in the last year despite no contraception.  The nurse reports a negative urine pregnancy test.  When ordering lab tests, the NP suspects to find 

A diagnosis of functional somatic syndrome is associated with all of the following except: 

Osteoporosis is defined as having a bone density greater than or equal to  _____  standard deviations below the average bone mass for a healthy young adult.

A 66-year old female presents to the primary care office with CC: “my eyes are yellow.”  The patient has noticed her skin is very itchy, she is feeling more tired, and generally does not feel well.   She is having some back pain and notes her urine looks dark.  A urine dip in the clinic reveals a high level of bilirubin.   The NP knows the bilirubinuria is a sign of  

Which of the following is the best example of mutualism?

A concerning adverse effect of ginkgo biloba is: 

A 46-year old female  with a history of hypertension, hyperlipidemia, prediabetes, morbid obesity (BMI 44), depression and OA of the knees,  presents for a routine check up.  Her most recent lab work shows a fasting plasma glucose = 152 and HbA1c = 6.8.  She is very frustrated with her inability to lose weight over the years.  She has tried Weight Watchers and most recently the Noom weight loss plan (It was too expensive and she gained the weight back).  Due to her knees and her weight, she is unable to walk any significant distance.   She is adamantly opposed to gastric bypass as she has a good friend “who went through all that and then gained the weight back.”   The NP discusses the recent promising medication-assisted weight loss data and the drug that will also control the diabetes.  After discussing all the options, benefits and risks, the NP will prescribe 

The Paris Agreement set two targets for the amount of global temperature change acceptable to the international community: A maximum target and an aspirational target. What is the value of the aspirational target?