![]() Please note that last minute cancellations due to unforeseen circumstances can occur, in which case you will receive a pre-communications letting you know your appointment has been cancelled, with a follow up email letting you know when it has been updated in the system so you can schedule via self-serve. When such a decision occurs in the future, Prometric will process the cancellation and send you a notification that your appointment has been cancelled, so you can schedule a new appointment. We will continue to review our social distancing requirements and make determinations on whether we can preserve future appointments or if they need to be cancelled due to our inability to test at specific locations, based on local and state guidelines. We will continue to review local & state guidelines to ensure centers are open and operational where permitted to do so. Which statement about this patient’s condition is correct?Ī. Hypertrophied muscles are the source of additional androgens which interfere with the patient’s menstrual cycleĬ. Decreased adiposity contributes to hypoestrogenemia in this patientĭ. The patient is likely to have decreased blood estrogen concentration due to increased liver metabolismĮ.Prometric is hopeful that the COVID-19 situation in many markets continues to improve, providing more opportunities to support USMLE test takers. A bone scan shows decreased calcium mineral deposits. Physical examination reveals the good development of muscles and decreased adiposity. The weight is 55.0 kg (121.3 lb), and the height is 166 cm (5 ft 5 in). On physical examination, the vital signs include blood pressure 100/60 mm Hg, heart rate 55/min, respiratory rate 12/min, and temperature 35.9☌ (96.6☏). She had her menarche at the age of 12 and menstruated normally until last year. Since almost a year and a half ago, she intentionally restricted her diet at the expense of carbohydrates, exercised intensively, and lost 18.0 kg (39.7 lb). Which of the following additional symptoms is associated with this patient’s condition?Ī 16-year-old patient presents to the physician’s office with an absence of menstruation. On CT, a mass is observed involving the medulla of his right adrenal gland. The patient is referred to an endocrinologist for further assessment and CT. Small nodules are observed on his buccal mucosa and tongue. His heart rate is tachycardic with normal rhythm and his lungs are clear to auscultation bilaterally. On physical exam, he appears quite anxious and uncomfortable. At the clinic, his blood pressure is 140/90 mm Hg, his heart rate is 120/min, his respiratory rate is 18/min, and his temperature is 36.6 ☌ (98.0 ☏). Several family members seem to suffer from similar spells. He takes levothyroxine and a multivitamin every day. His past medical history is significant for a total thyroidectomy 10 years ago for carcinoma. He has had similar dizzy spells on three separate occasions. He also mentions that he was sweating a lot at that time. Earlier today he was in his normal state of health when symptoms started, and he reports that symptoms lasted about 20 minutes. Which of the following is likely to be seen with pulmonary function testing?Ī. Increased FEV1: FVC and decreased total lung capacityī. Decreased FEV1: FVC and increased total lung capacityĬ. Increased FEV1: FVC and normal total lung capacityĭ. Decreased FEV1: FVC and decreased total lung capacityĮ. Normal FEV1: FVC and decreased total lung capacityĪ 45-year-old man walks into an urgent care clinic complaining of a headache and dizziness. Physical examination is notable for coarse wheezing bilaterally. A chest X-ray shows flattening of the diaphragm bilaterally. Her blood pressure today is 128/84 mm Hg. She has a 70-pack-year history of cigarette smoking and drinks 3–4 alcoholic beverages per week. Her medical history is significant for hypertension, for which she takes amlodipine daily. She denies any weight loss, lightheadedness, or fever. Her symptoms are worsened even with light activities like climbing up a flight of stairs. She also complains of chronic cough that has lasted for 10 years. ![]() Students: Educators’ Pro Tips for Tough TopicsĪ 60-year-old woman presents to the clinic with a 3-month history of shortness of breath that worsens on exertion.Maternity Nursing and Care of the Childbearing Family.
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