A 54-year-old male complains of loss of appetite, weakness, fatigue, and unintentional weight loss of 10 pounds over the last month. His wife recommended that he get a physical examination.
On physical examination, you do not find significant signs of a specific disorder. The CBC with differential shows anemia. A serum metabolic panel has all normal findings. Which diagnostic test(s) would you recommend to obtain more information?
A. Cystoscopy
B. Digital rectal exam
C. Colonoscopy
D. B and C
Question 2A 45-year-old female complains of feeling extremely anxious, fatigued, and has a loss of enjoyment of previously engaging activities. She has a difficult time arising from bed in the morning to go to work.
She has lost her appetite, cannot sleep, and has trouble thinking straight. On physical examination, there are no significant findings. These signs and symptoms are characteristic of:
A. The presence of a malignancy
B. Clinical depression
C. Hypothyroidism
D. Adrenal insufficiency
Question 3An 88-year-old female is accompanied by her daughter to the emergency department. The daughter explains that her mother was having her hair washed at the beauty salon, then complained of dizziness and fainted.
The 88-year-old patient has a history of hypertension for which she takes a beta blocker. Otherwise she was in her usual state of health until this incident. On examination, she has no neurological deficits. Which of the following conditions should be considered?
A. Benign positional vertigo
B. Wertebrobasilar insufficiency
C. Labyrinthitis
D. Dehydration
Question 4A 78-year-old female comes to the clinic for a physical examination. She is accompanied by her daughter and looks to her daughter to answer questions during the interview.
She was diagnosed with early Alzheimer's disease 2 years ago, and her daughter would like her current mental status evaluated.
You ask the patient her daughter's name, and she answers correctly. You ask her the date and time, and she answers incorrectly. You hand the patient a pencil and ask her if she knows what it is. She replies with, Is it a stick? You ask the patient to put on a patient gown, and she does not know how to perform the task. These are examples of disorientation to time and:
A. Agnosia and apraxia
B. Anomia and aphasia
C. Agnosia and ataxia
D. Apathy and ataxia