A 43-year-old woman presents with fatigue, weight gain, and cold intolerance. TSH is 22 mU/L, free T4 is low. Anti-TPO antibodies are positive. She is trying to conceive. What is the TSH target?
A$< 1.0 \mathrm{mU} / \mathrm{L}$
B$< 2.5 \mathrm{mU} / \mathrm{L}$
C$< 4.0 \mathrm{mU} / \mathrm{L}$
D$< 6.0 \mathrm{mU} / \mathrm{L}$
E$< 10.0 \mathrm{mU} / \mathrm{L}$
A 26-year-old woman presents with amenorrhea, galactorrhea, and headaches. Visual field defects are noted. What is the appropriate initial treatment?
ATranssphenoidal surgery
BCabergoline
CRadiotherapy
DObservation
EBromocriptine
A 34-year-old woman presents with recurrent miscarriages and a history of DVT. Blood tests show prolonged APTT not correcting with mixing studies, and positive anticardiolipin antibodies. What is the most likely diagnosis?
AFactor V Leiden
BProtein C deficiency
CAntiphospholipid syndrome
DLupus anticoagulant
EVon Willebrand disease
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