1. All diastolic murmurs III first time audible, IV first time thrill are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM 2. Fundal height 12 weeks Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3. 3 month old infant Iron, TIBC with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? 4. 3 months of synthroid, Increase Medication TSH increased, T4 normal, what do you do?