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A 34-year-old woman with seasonal allergic rhinitis was started on intranasal fluticasone. Two days later, she reports no improvement and wants to stop the medication. What is the most appropriate response?

 A 13-month-old develops fever of 103°F and a rash 9 days after their Varicella vaccination. The caregiver is concerned about febrile seizures and long-term neurologic risk. Which of the following statements is true? 

A 37-year-old patient presents with fatigue and low-grade fever after recent travel. Serologic testing for hepatitis A reveals positive anti–HAV IgG and negative anti–HAV IgM. Which interpretation of these results is most appropriate?

A 10-week-old infant presents for a well-child visit and is due for the next dose of rotavirus vaccine. The parent reports the infant was hospitalized at 6 weeks of age for sudden episodes of crying, drawing the knees to the chest, and vomiting. The diagnosis was intussusception, and the infant recovered after air-enema reduction. What is the most appropriate action?

A 71-year-old woman with stage 3 chronic kidney disease develops constipation while receiving opioid therapy after surgery. Which laxative should be avoided?

A postmenopausal patient with estrogen receptor–positive breast cancer is started on an aromatase inhibitor. Which adverse effect should the provider monitor most closely?

A 29-year-old with frequent migraines asks about monthly injection options for prevention. Which therapy is most consistent with a monoclonal antibody approach?

A patient receiving cytotoxic chemotherapy develops an absolute neutrophil count of 400/mm³. The provider is planning management. Which action is most appropriate?

A 48-year-old man with a confirmed H. pylori–positive duodenal ulcer has a documented penicillin allergy. What is the most appropriate first-line treatment?

A 67-year-old patient with coronary artery disease and a history of myocardial infarction takes aspirin 81 mg daily for secondary prevention. The patient is scheduled for elective cataract surgery and asks when the aspirin should be stopped to prevent bleeding. What is the most appropriate recommendation?