A 32-year-old woman presents to your office with complaints of dyspnea, constipation, menorrhagia, and fatigue that are new over the last week. She has a distant history of Hodgkin's disease treated with chemotherapy and radiation to the chest. She has a history of mild asthma, is a smoker, and denies alcohol use. Her physical exam reveals a well-developed woman, who appears comfortable at rest. Her temperature is 36.7° C, pulse 92, blood pressure 120/64, respirations of 16, and oxygen saturation of 93% on room air. Her lung exam shows good air movement with occasional end expiratory wheezes. She has no adenopathy and the remainder of her exam is unremarkable. Her CBC with WBC differential is normal.

1		Which of these diagnoses can be ruled out based on this patient's history?
			A)	Hypothyroidism.
			B)	Lung cancer.
			C)	Coronary ischemia.
			D)	Relapse of the Hodgkin's disease.
			E)	None of the above.
2		The patient has a normal chest radiograph and EKG. However, her TSH is markedly elevated, and you start her on levothyroxine. You plan to see her back in 8 weeks for reevaluation and would like to provide additional counseling at that time. Which of the following is (are) most important to address?
			A)	Yearly mammograms.
			B)	Smoking cessation.
			C)	Early intervention by a fertility specialist if the patient desires pregnancy.
			D)	All of the above.
			E)	None of the above.