A 50 year old male is experiencing fatigue, dizziness, and headaches with a rapid decline in his visual acuity. He treats his hypertension and type 2 diabetes with medications. His brow and jaw are enlarged (proganthism), his hands and feet and fingers are wide. His wedding ring no longer fits on his finger. He is obese and has a deep voice. -His lab tests show high blood glucose, high GH, high IGF1, normal prolactin, and low testosterone.There was a pituitary mass seen on his CT scan. A CT scan in both the 50 year old man and a 14 year old girl show a pituitary mass. Why are their symptoms not similar? a.) One is producing GH, the other isnt b.) They are the same c.) They are of different ages d.) They are of different genders

Ginger is a 60 year-old retired school teacher. She’s previously been diagnosed with CKD and has a current eGFR of 52 ml/min and her serum creatinine is 1.27 ml/dl. Ginger is 65” tall and weighs 156 lbs. She is working with a registered clinical dietician to manage her nutrient intake and eating habits. She is taking her Plendil as prescribed. Prior to beginning an exercise program, Ginger underwent a GXT. She achieved a maximum exercise capacity of 6 METs, a HRmax of 164 beats/min and demonstrated normal hemodynamic responses to exercise of increasing intensity. Over the last several weeks, Ginger has been regularly exercising in your clinical wellness facility.  When she is not exercising, she enjoys gardening and walking in her neighborhood park with friends. She has been recording her resting heart rate and blood pressure before each exercise session. Her average resting heart rate is 68 beats/min and blood pressure is114/72 mmHg. Her resting measurements have not varied widely…

Sarah, age 68, was recently widowed after 40 years of marriage. She reports that since her husband died, she has started to smoke again. She also reports difficulty sleeping, more pain from her rheumatoid arthritis, and episodes of shortness of breath. She begins to cry when asked about her usual daily activities and hobbies. She has stopped taking her blood pressure medication over the last month and avoids discussing her financial status.  What risk factors are present that may predispose her to an altered health status?

Samuel Dexter is a 52-year-old African-American man who is both a husband and father. He is moderately obese (BMI of 32), and has smoked two packs of cigarettes a day for the past years. He awakes one morning with weakness on his right side. He is a bit confused, sees double, and his speech is slurred. When he attempts to walk to the bathroom, he stumbles a few times and falls once. His wife suspects that he has suffered a stroke and calls 911.  Emergency personnel arrive within minutes of her call and transport Samuel to the emergency room of the nearest hospital.   Upon examination by the emergency room physician, Samuel is found to have right hemiparesis and diminished pinprick and two-point discrimination on the right side of his head and arm. His deep tendon reflexes are brisk on the right and there is a positive Babinski reflex on the right. He has difficulty articulating answers to the questions he is asked, speaking only a few words and frequently responding with just a verb or…