24-year-old woman, gravida 1 para 1, comes to the office due to not having a menstrual period for 2 months. She gave birth to a healthy boy 8 months ago She breastfed for a month and has sinc,e been formula-feeding Since the delivery, the patient has received 2 medroxyprogesterone injections for contraception; the last was administered 4 months ago Over the last 2 weeks, she has begun experiencing breast soreness, weight gain, and increasing fatigue Menarche occurred at age 14; menses were regular prior to her pregnancy but have been irregular since starting the medroxyprogesterone. The patient requests a different form of
contraception due to these symptoms. Which of the following is the most appropriate next step in management of this patient?
- Q A Administer a urine pregnancy test
- Q B. Advise the patient that symptoms will improve
- Q C. Measure TSH level
- Q D. Place a subdermal progestin implant
- Q E. Recommend a copper intrauterine device
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85-year-old man presents with a rash over his forehead, tip of nose and left eye. He also complains of pain and decreased vision. He has had fever, malaise, and a burning sensation around his left eye for the past 5 days. His blood pressure is 140/90 mm Hg, pulse is 92/min, respirations are 14/min, and temperature is 38.1° C (101° F). Physical examination reveals a vesicular rash on the periorbital region and lid margins. The left eye is red, with chemosis of the conjunctiva. Dendriform ulcers are seen on the cornea. What is the most likely diagnosis?
- 0 A. Herpes simplex keratitis
- 0 B. Dacryocystitis
- 0 C. Bacterial keratitis
- O D. Trigeminal neuralgia
- 0 E. Herpes zoster ophthalmicus
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