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. . . :21 AM Sun Nov 17 AA boardvitals.com C BoardVitals ELMS Log In | CORE... Dashboard e Pheochromocytoma... Tarek Ezzeddine, M... BOARDS VITALS Question Bank: Adult-Gerontology Primary Care NP My CME/CE Dashboard Quiz Performance My CME/CE Purchase Practice Exam Browse Q Adult-Gerontology Primary Care NP 11-16-2024 | 47 of 50 questions Highlight S Strikeout Calculator Lab Values A 42-year-old man with a history of hyperlipidemia, obesity, hypertension, and type 2 diabetes mellitus is seen at the primary care clinic with fatigue that has lasted almost one year. He states that about a year ago, he changed jobs and was feeling very stressed while adjusting to his new position. Eventually, things settled down after a few months, and he was able to perform better and worry less. However, for the past 8 months, he has experienced fatigue throughout the day unrelated to sleep or exercise. He also reports constipation and feels that his skin is dry and cold all the time. He denies any problems getting deep sleep or snoring. He also denies any other constitutional symptoms such as pain or rashes. In addition, he also denies suicidal ideations, guilt, psychomotor problems, or other mental health issues. His medications are atorvastatin (Lipitor), metformin (Glucophage), and amlodipine (Norvasc). The patient's temperature is 98.3 degrees Fahrenheit, HR is 80, RR is 16, and BP is 140/90. Physical exam reveals cold, clammy skin. Which of the following should the provider recommend next? A. Administration of a selective serotonin reuptake inhibitor (SSRI) B. Administration of levothyroxine (Synthroid) c. Steroid and cyclophosphamide therapy D. Obtaining thyroid hormone levels Check Answer Show Explanation Grade |00 Pause Previous 41 42 43 44