Raynaud’s phenomenon is a reversible vasospastic disorder that affects the blood flow to the digits and less commonly to the nose and earlobes. Lifestyle modification for patients with Raynaud’s phenomenon include:

A 28-year-old female returns to the clinic to see you. You initially treated her for moderate depression with fluoxetine (Prozac), an SSRI, 20 mg daily. You recommended a follow up  visit in 3-4 weeks. She missed that appointment, she was feeling less depressed and canceled her appointment.   Two months have gone by, she called your office this morning and asked to schedule an appointment with you.  She is feeling a bit “crazy and manic” on the fluoxetine.  She is rushing around, laughing a lot and experiencing more anxiety. She has a family history of severe mood swings, she passed it off as just that. Based on this information, what is the most likely, or leading diagnosis for this person: 

Cardiomyopathy can be separated into primary (genetic, mixed, or acquired) and secondary categories, which result in varied phenotypes including dilated, hypertrophic, and restrictive patterns. Hypertrophic cardiomyopathy is the most common primary cardiomyopathy, and can cause exertional dyspnea, presyncope, atypical chest pain, heart failure, and sudden cardiac death. Hypertrophic cardiomyopathy is defined as:

The estimated target heart rate zone for a 20 year old individual is approximately:

Bursitis is a pathologic inflammatory disorder of the bursa that is caused by various acute or insidious processes.  Which of the following  is NOT considered to be one of those processes?

Which of the following is NOT a classic physical exam finding for a patient diagnosed with COPD?

A 60 year old man with stage 3 chronic kidney disease (CKD), secondary to hypertension, presents to your clinic for a routine follow-up appointment.  His BP is 136/74 mmHg.  His PE results were all within normal limits. His labs are significant for a potassium level of 5.3 mEq/L and phosphorus level of 5 mg/dl. What is the explanation for his hyperkalemia and hyperphosphatemia?

Find an equation for the nth term of a geometric sequence where the second and fifth terms are -8 and 512, respectively. (7 points)

According to the USPSTF guidelines which of the following patients should NOT be screened for osteoporosis?

Thyroid disorders include structural and functional abnormalities, cysts, nodules, cancer and overactive or under-active thyroid. Which of the following is a risk factor of thyroid disorders?