A 37 year old African American male presents to the offi…

  A 37 year old African American male presents to the office for a routine physical. This is the first time he has been to the doctor in 7 years.  He has no complaints and overall reports that he is doing well.  On exam, you note the following: T: 98.7, HR 72, RR 14, BP 145/88, BMI 27. The remainder of his exam is normal. What is the next best step?

A 45 year old female presents to your office with complaints…

A 45 year old female presents to your office with complaints of diarrhea, weight loss and sweating for the past 3 months. Her vital signs are as follows:  HR 115, BP 119/82., RR 12, SPO2 99% RA you note that her thyroid is enlarged.  You would like to evaluate her for a thyroid condition.  You order a TSH which is abnormal and then you order a Free T3 & T4.   Here are your lab results: TSH 0.2 mIU/L (normal  0.4-6 miU/L) Free T4 8.6 ng/dL (normal 0.7-2.0 ng/dl) Free T3 4.3 pg/dL (normal 2.3-4.2 pg/dL) Based on the above, the next logical step would be to order which of the following?

A 20 year old female presents to your office complaining of…

A 20 year old female presents to your office complaining of headaches that she has had for the past several years. She indicates the headaches last all day and are associated with nausea and vomiting. Many times she gets a warning that the headache is about to start because she begins to see flashes of light and then black dots. What medication should she avoid in the future?