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A 38-Year-Old Woman Comes to the Office Due to an 8-Month

question 130

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A 38-year-old woman comes to the office due to an 8-month history of fatigue and difficulty performing work-related tasks.  The patient works as a cashier and is unable to stand for a long time due to exhaustion and muscle aches.  After unloading stock, she feels tired and has no energy for hours.  The patient tries to rest at home after her shift but doesn't think this helps.  She gets 7-8 hours of sleep a night but awakens feeling unrefreshed.  Other than a viral infection 3 months ago, the patient has been in good health and takes no medication.  She does not use tobacco, alcohol, or illicit drugs.  She has no depression or anxiety.  Family history is significant for hypertension in her father and depression in her mother and brother.
Vital signs and physical examination are unremarkable.
Laboratory results, including complete blood count, comprehensive metabolic panel, erythrocyte sedimentation rate, C-reactive protein, antinuclear antibody, TSH, and rheumatoid factor, are negative.
Which of the following is the most effective treatment for this patient's symptoms?

Comprehend the principles of light perception and how the eye responds to variations in light.
Grasp the concept of colour vision and the theories explaining human perception of colour.
Understand the physiological and neural pathways involved in processing visual information.
Gain insights into the adaptive functions of various visual phenomena, including sensory adaptation and night vision.

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