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.
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Small nodules are observed on his buccal mucosa and tongue.
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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.
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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.
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Students: Educators’ Pro Tips for Tough Topicsġ50+ Free USMLE® Step 1 Physiology QuestionsĪ 60-year-old woman presents to the clinic with a 3-month history of shortness of breath that worsens on exertion.Fundamentals of Nursing: Clinical Skills.