# Test 2 / 623

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An older male adult presents to your clinic after finding a lump in his neck while shaving. Physical exam reveals a firm 2 cm ...and non-tender nodule located on the right lobe of the thyroid gland; right posterior cervical lymphadenopany is also appreciated.

• The patient's thyroid should be immediately ablated with radioactive iodine and he should be referred to an endocrinologist.
• Order a TSH and refer to a surgeon for a fine needle biopsy
• Prescribe levothyroxine 0.25 mg daily with a six week follow up visit
• No interventions are necessary at this time; schedule a six month follow up visit.
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An older male adult presents to your clinic after finding a lump in his neck while shaving. Physical exam reveals a firm 2 cm ...and non-tender nodule located on the right lobe of the thyroid gland; right posterior cervical lymphadenopany is also appreciated.

• The patient's thyroid should be immediately ablated with radioactive iodine and he should be referred to an endocrinologist.
• Order a TSH and refer to a surgeon for a fine needle biopsy
• Prescribe levothyroxine 0.25 mg daily with a six week follow up visit
• No interventions are necessary at this time; schedule a six month follow up visit.
A patient with type II diabetes asks the clinician why she needs to exercise, In order to answer her, the clinician needs to have an understanding about the effect exercise has on the on the patients with type II DM?

• Reduces postprandial blood glucose