Which of the following statements about gender dysphoria is true?

A 70-year-old-year old with no significant past medical history except for hypertension receives an X-ray of his skull (see image below) after his car was rear-ended in a parking lot resulting in neck soreness. No fracture but what is the likely diagnosis of this incidental finding?     

A pregnant woman at 30 weeks gestation reported a flu-like illness to her provider. Suspecting Cytomegalovirus infection, laboratory testing was completed. The results showed positive CMV IgM antibodies with high avidity CMV IgG antibodies. Which of the following statements is true concerning this fetus after delivery?

During your Internal Medicine rotation, you are evaluating a 38-year-old patient noted to have macrocytic anemia with an MCV 124 on a recent CBC.  When reviewing the patient’s chart, you verify that her CBC was normal during her most recent prior physical three years ago. On further questioning, the patient tells you that she had been following a strict vegetarian diet for the past several years.  The patient tells you that she has recently started to have difficulty sensing where the floor is, when she gets up during the night in the dark to use the bathroom.  She now has to turn on a light to “see where my feet are on the floor” (impaired position sense).  Based on this information, which of the following conditions is the most likely diagnosis for this patient?

You are asked to evaluate a 32-year-old woman who presents complaining of “worsening stress.”  On further questioning, the patient admits that she is developing a severe fear of public places and open areas, and this has started to affect her ability to function.  She left her previous job due to this escalating discomfort, and now rarely leaves her home.  She realizes that her fears are seriously affecting her ability to function, and, despite considerable anxiety, has come to the office today to get help.  Based on this information, which of the following conditions is the most likely diagnosis for this patient?

You are examining a patient who presents complaining of low back pain that radiates down the left buttock into the left leg.  The patient has a positive straight leg raising sign on the left, and decreased ankle reflex on the left side.  Based on this information, what is the most likely level of intervertebral disc herniation in this patient?

You are asked to evaluate a 62-year-old patient who presents complaining of fatigue and a “skin infection” and states that he has also noticed increased bruising recently.  On examination, you note that the patient has significant periorbital cellulitis.  There are also multiple areas of ecchymoses in various stages of resolution, as well as petechiae noted over the trunk and extremities.  There is no lymphadenopathy, hepatomegaly, or splenomegaly noted.  A stat CBC with differential is ordered and the results are as followsWBC: 80,000 (↑)Hgb:   9.0 (↓)HCT:  27% (↓)MCV: 90Plt: 60,000 (↓)Differential: 20% segs, 2% bands, 36% lymphs, 4% monos, 3% eosinophils, 1% basophils,34% blastsPeripheral blood smear: Blast cells with Auer rods noted Based on this information, which of the following conditions is the most likely diagnosis for this patient?      

A 68-year-old male patient with PMH significant for HTN, stroke, vascular dementia, and atrial fibrillation, presents with a two-month history of generalized weakness and dizziness.  His symptoms began gradually, and have been progressing over the past few weeks, now affecting his ability to perform activities of daily living.  The patient reports an estimated unintentional weight loss of 20 pounds over the past two months, and his appetite has diminished.  The patient denies any fever, night sweats, headache, cough, hemoptysis, or dyspnea.  He denies abdominal pain, change in bowel habits, nausea, vomiting, or urinary symptoms.  Six weeks prior, the patient was initially evaluated in the ER and received IV fluids and electrolyte supplements for dehydration.  Physical examination reveals patchy hyperpigmentation of the elbows, knees, neck, and palmar creases.    Based on this information, which of the following conditions is the most likely diagnosis for this patient?    

During your Psychiatry rotation, you are asked to evaluate a 34-year-old male patient with signs and symptoms suggestive of Bipolar I disorder.  The patient is started on lithium and your preceptor asks you to review with the patient the possible common side effects associated with this medication.  Which of the following potential side effects should be included in your discussion with the patient? 

Which of the following statements about cerebral palsy is true?