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Gender Expectations: Women in the story (sitters, admirers, and Mrs. Gisburn) play a key role in shaping or responding to Gisburn’s art and choices. How does Wharton use their voices to critique the social and gender dynamics of the time? Do you think women in the story are portrayed as powerful influencers, passive consumers, or something more complex?

The Riviera as Setting: Consider the Riviera in 1908—both glamorous and idle—as the backdrop for Gisburn’s “abdication” from art. How does this particular setting reflect and perhaps satirize the period’s leisure class? Could the story have the same impact if set elsewhere?

Confrontation with Authenticity: The turning point comes when Gisburn confronts Stroud’s donkey sketch. How does this moment dramatize the theme of authenticity versus imitation? What does this reveal about the values of the period in which Wharton was writing, and how might it resonate differently for readers now?

WN is a 54 year old female who complains of symptoms of a “cold” at your clinic today.  She’s the local YMCA swim coach and she’s hoping to feel better for next weekend’s swim meet.  She has allergic rhinitis chronically, though lately she’s had nasal congestion with purulent nasal/postnasal discharge (yellow in color) and a cough.  She complains of pressure in her face and her ears feel like they need to “pop.”  She’s had symptoms for 12 days now with little to no improvement and a fever (102.1° F) for the last 24 hours.  WN has an allergy to sulfa drugs, cats, and environmental allergies.  Her PMH is significant for asthma, hypertension and multiple dental infections / procedures.  Her medications include Fluticasone / Salmeterol (Advair Diskus) 250mcg/50mcg one inhalation twice daily, albuterol (Ventolin) HFA 2 puffs as needed for shortness of breath and lisinopril (Zestril) 20 mg by mouth daily.  She reports an allergy to sulfa medications. Which of following regimens would be the best choice to treat her ABRS?

A 58-year-old male with a history of gout presents to the clinic complaining of sudden-onset severe pain, redness, and swelling in his left big toe. He reports similar episodes in the past and suspects another gout flare. Based on the ACR guideline recommendation for early management of acute gout flares, which of the following medications would NOT be included in the “medication-in-pocket” strategy for this patient?

CG is a 61 yo male with a new diagnosis of osteoporosis (T-score  -2.7).  His past medical history is significant for gastroesophageal reflux disease and diabetes.  His medications include omeprazole (Prilosec) and metformin (Glucophage).   Among other therapies you intend to initiate, calcium supplementaion will be included. Which calcium supplement could be taken without regards to meals, not interact with current medications and be a good choice for CG?

A 35-year-old female presents to the clinic with complaints of recurrent severe headaches associated with nausea, photophobia, and phonophobia. She reports that these headaches often interfere with her ability to work and perform daily activities. Based on the patient’s history and symptomatology, the nurse practitioner suspects migraines. Which of the following treatment strategies would be most appropriate for aborting this patient’s severe acute migraines? 

A patient is prescribed his first prescription for allopurinol (Zyloprim*). Which statement below is NOT correct regarding this medication?

An orthopedic surgeon writes an order for a 85 y/o elderly male patient who is post-op hip replacement. He has acute pain from his procedure (7 on scale 0-10) and no history of chronic pain.  The surgeon asks for your opinion on his order. He writes: Hydrocodone 5mg/Acetaminophen 500mg (Vicodin, Norco) per tablet. Dosage: i-ii (One or Two) tablets Q3H (Every Three Hours) as needed for pain. What is the best response to this order?

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