Author: Anonymous

A 50-year-old female presents with fatigue. Labs show elevated thyroid-stimulating hormone. What is the most appropriate next step?

A 28-year-old pregnant female at 10 weeks gestation presents with persistent nausea and vomiting. She is able to tolerate small amounts of fluids. What is the most appropriate next step?

A 42-year-old female presents with progressively heavier menstrual bleeding over 6 months. Urine pregnancy test is negative and she has no history of bleeding disorders. Exam is unremarkable. What is the most appropriate next step?

A 21-year-old female presents for routine care. She is sexually active and has never had cervical cancer screening. She reports no symptoms. What is the most appropriate next step?

A 6-month-old male presents for a well-child visit. He rolls both ways, reaches for objects, and vocalizes but is not yet sitting independently. He was born full-term with no complications, and his physical and neurologic exams are normal. What is the most appropriate next step?

A 16-year-old female presents requesting contraception. She is sexually active, has migraine with aura, and reports occasional cigarette use. She prefers a method that does not require daily adherence. Which option is most appropriate?

Part 2 – Merck & Co. Inc: (C) Non-GAAP Income and Non-GAAP EPS from Continuing Operations Non-GAAP income is an alternative view of the Company’s performance that Merck is providing because management believes this information enhances investors’ understanding of the Company’s results since management uses non-GAAP measures to assess performance. Non-GAAP income excludes certain items because of the nature of these items and the impact that they have on the analysis of underlying business performance and trends. The excluded items (which should not be considered non-recurring) consist of acquisition- and divestiture-related costs, restructuring costs, income and losses from investments in equity securities, and certain other items. These excluded items are significant components in understanding and assessing financial performance. In fiscal year 2017, Merck reported GAAP income of $1.9 billion and a much higher non-GAAP income of $5.0 billion, inclusive of acquisition and divestiture-related costs of $2.9 billion. Required: In your opinion, which one of these two measures should investors rely on in estimating future income for Merck? Explain. 

Mandatory audit firm rotation has been implemented in the European Union, but not in the United States (US). Based on the readings covered in class, do you believe that audit/financial reporting quality would be improved if mandatory audit firm rotation was implemented in the US? Use any evidence from academic research covered in your class readings to defend your position.

In August 2019, the Wall Street Journal published an article regarding the rampant accounting fraud, financial reporting improprieties, and securities violations that occurs in the Chinese capital markets. Many companies in China have structures that are not transparent with tightly held shareholder and management control, which is a consequence of the greater proportion of family-run companies. Many of these family-owned companies have major shareholders filling senior management positions, and it is not unusual for the largest such shareholder to be both chief executive officer (CEO) and Chairman of the company. Independent directors are often not independent but are friends of the family. Sometimes, members of the family management team will even be on the audit committee. In addition, it is also common to find that suppliers and customers have close relations, providing substantial opportunity for improper conduct. Most disturbing is that, sometimes, the attitude of the Chairman has is that this is his company and he can do what he wants with it, usually to the detriment of other lenders, creditors or shareholders. The maximum fine for false financial disclosures is 600,000 yuan ($87,000), while the top criminal punishment for hiding or destroying accounting records is a prison term of five years and a fine of up to 200,000 yuan ($29,000). Required: Janet Brown, a graduate from UF tells you she is thinking of investing in some Chinese stocks because these stocks appear to be “super cheap.” Using the information discussed above, (i) explain to Janet why you believe Chinese stocks are selling at low prices, and then (ii) select from among the corporate governance participants listed below the one participant you believe can potentially have the greatest impact on improving corporate governance in Chinese companies. Defend your choice. [Board of Directors, External Auditors, Internal Auditors, Institutional Investors, Regulators and Standard-setters, Financial Analysts]

Storytellers across all cultures, whether they use the printed word or film format, become a part of a larger dialogue regarding social, cultural, and political values.  After reading Adichie’s “The Headstrong Historian” for our last class session/lesson, write a 500-750 word response essay that analyzes how and why “Headstrong Historian” engages with some of the concerns of, and inherent questions posited by, postcolonial theorists today. That is to say, you previously thought about how colonization impacts Nwamgba and her family in our last comprehension quiz. NOW, you will explain how and why this short story is considered a work of postcolonialism. Be sure to keep in mind that you must demonstrate a clear understanding of postcolonialism, contemporary world literature, and literary analysis.  Reminders: No works cited page is required, but you do need evidence to support your claims in essay, but you absolutely must identify the author and title in your introduction. Use indented Paragraphs. The five paragraph strategy is appropriate for timed essays (exam essays). Use this to your advantage. Introductions and Conclusions must have four sentences minimum. Body paragraphs must have five sentences minimum. You must use three or more paragraphs. Write 500-700 words. The minimum requirement of 500 words is set by Blinn. I have never had a student NOT hit 500 words, IF they plan a five paragraph essay, and maintain the minimum number of sentences per paragraph mentioned above. You are typing this into a text box– you do not need to double space (but you can), but DO leave a space between paragraphs AND DO indent for new paragraphs.