A 68-year-old woman with a recent shingles outbreak reports persistent burning pain in a dermatomal distribution along her left rib cage that has continued several weeks after symptom onset. She finds clothing uncomfortable on the area. Which treatment is most appropriate to initiate?

A 56 year old male reports to clinic for a lab follow up after his annual physical. His PMH includes HLD (diet controlled), ACL status post surgical autograft repair, thyroidectomy, and prediabetes. His labs are as follows: Complete Metabolic Panel (CMP) Test Result Reference Range Sodium 139 mmol/L 135 – 145 mmol/L Potassium 4.2 mmol/L 3.5 – 5.1 mmol/L Chloride 102 mmol/L 98 – 107 mmol/L Bicarbonate (CO₂) 24 mmol/L 22 – 29 mmol/L BUN 13 mg/dL 7 – 20 mg/dL Creatinine 0.9 mg/dL 0.6 – 1.2 mg/dL Glucose (fasting) 89 mg/dL 70 – 99 mg/dL Calcium 7.1 mg/dL 8.5 – 10.5 mg/dL AST (SGOT) 20 U/L 10 – 40 U/L ALT (SGPT) 23 U/L 7 – 56 U/L ALP 72 U/L 40 – 129 U/L Total Protein 7.0 g/dL 6.0 – 8.3 g/dL Albumin 4.5 g/dL 3.4 – 5.4 g/dL Total Bilirubin 0.7 mg/dL 0.1 – 1.2 mg/dL Complete Blood Count (CBC) Test Result Reference Range WBC 6.2 x10⁹/L 4.0 – 10.5 x10⁹/L Hemoglobin 14.6 g/dL 13.5 – 17.5 g/dL (male) Hematocrit 44% 41 – 53% (male) MCV 90 fL 80 – 100 fL Platelets 250 x10⁹/L 150 – 450 x10⁹/L Neutrophils 58% 40 – 70% Lymphocytes 32% 20 – 45% Thyroid Panel Test Result Reference Range TSH 1.8 μIU/mL 0.4 – 4.5 μIU/mL Free T4 1.2 ng/dL 0.8 – 1.8 ng/dL Free T3 3.1 pg/mL 2.3 – 4.1 pg/mL Hemoglobin A1c Test Result Reference Range A1c 5.9%

Which similarity (distance) metric is commonly used in the K-Means clustering algorithm?

A 39 year old male patient reports deep shoulder pain that has gradually worsened over the past few months. He notes that over head motions and reaching behind his back worsen the pain. On physical examination, you note a positive lift-off and belly-press test. You suspect the patient has:

A 56 year old patient is following up on their new diagnosis of diabetes type 2. During the last visit, you focused on teaching BG checks at home, lifestyle changes, and about the patient’s new medications. You also prescribed metformin 1000 mg BID. During your follow up today, you know it is important to complete/order which of the following: (SELECT ALL THAT APPLY)

Which technique is commonly used for detecting noun phrases and verb phrases in a text corpus?

Mr. Johnson is a 54-year-old man with newly diagnosed hypertension. During the visit, you learn he works two jobs with irregular hours, has no health insurance, and lives in a neighborhood with limited access to fresh foods and safe spaces for exercise. He says he often eats fast food because it’s convenient and affordable. Which of the following best explains how social determinants of health are impacting Mr. Johnson’s ability to manage his hypertension?

An elderly patient reports feeling lightheaded several times per day. You perform an EKG, which reveals a rhythm strip showing PR intervals of 0.20, 0.26, and 0.34 seconds, followed by a P wave that is not followed by a QRS complex. Based on these findings, the most likely diagnosis is:

During a routine visit, a 19-year-old college athlete reports that she is “trying to stay lean for performance.” BMI is 16.3. On exam, you note bradycardia and lanugo on her arms. She denies vomiting or laxative use. Which feature most strongly supports a diagnosis of anorexia nervosa over other eating disorders?

Important! You are not allowed to use a private protection screen, and you are not allowed to use an external VM mode. Any such instances violate academic integrity (i.e., are a form of cheating) and will be forwarded to the Simon School’s Academic Integrity Committee, along with the detailed Honorlock record containing the clearly documented evidence of academic dishonesty. Important! Some computers are required to open the Honorlock app after downloading Honorlock. Therefore, after downloading Honorlock,Go to the download file, find the Honorlock fileDouble-click to activate HonorlockWhen you see the top right corner with Honorlock running, that is the right stepsGo back to the next stepsImportant! When you can’t find any extra links for your exam, you need to find the “Allowed URLs” title.Check the two differences (Screen 1-Maximize & Screen 2- Minimize) below. Either will work.Maximize ScreenMinimize Screen