Answer:
d. Measure thyroid-stimulating hormone level
Explanation:
The most suitable next step in management of this patient is to measure a thyroid stimulating hormone, or thyrotropin level.
This patient's apparent treatment refractory dyslipidemia is most likely contributed by undiagnosed thyroid disease. Despite sticking to the treatment with atorvastatin, his LDL AND total cholesterol are raised.
Additionally, there are some clinical signals that give an idea about the diagnosis of hypothyroidism especially fatigue and constipation.
Hypothyroidism is concerned with and is a very common secondary cause of dyslipidemia and thyrotropin level measures are indicated.
Hyperlipidemia may show better results to thyroid stimulating hormone.
Hence option D is the right answer.
Oxygen , Carbon , hydrogen
Burning Fosil fuels will Poison Wildlife because they have the effect of releasing toxic elements into the air, thus the consequences of poisoning wildlife.
Answer:
The shark wont die unless it is hurt very badly by the puffer fish. The puffer fish is able to kill all of the animals listed but the puffer fish wouldn't die if he uses his abilities. I would say the sting ray.
Explanation: