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A 48 yo female presents with right upper quadrant (RUQ) abdominal pain. As you palpate the RUQ under the costal margin she holds her breath momentarily and reports a sharp increase in pain. This is most indicative of:

Which of the following statements concerning sexual assault is correct?

Estrogen is the lowest at which stage of the ovarian cycle?

High density lipoproteins (HDL) have emerged as powerful predictors of cardiovascular disease (CVD) risk.  Which of the following statements is true regarding HDL?

Your patient presents with “itchy eyes” and nasal congestion. On examination, you find their nasal mucosa to be swollen, boggy, pale and grayish. You suspect that they have:

A 45-year-old sexually active patient states that in general she is feeling well without fatigue but for the past 6 months or so she has been experiencing changes to her menstrual cycle. They are unpredictable in their timing, coming less frequently and heavy sometimes. From the following list, what lab test would you find least helpful to order to assess for anovulatory bleeding in this case?

Will, a 24 year-old African American male, has a rash on the arm.  The rash began as red and round and is itchy and now it has spread.  On exam, you note a single, well demarcated, erythematous, scaly annular lesion with central clearing on his arm.  Based on this information only, what would be the MOST LIKELY diagnosis?

Jennifer is a 47yo patient recently diagnosed with DM2. She recently completed a comprehensive eye exam, including a dilated retinal exam. The examination was “normal”. When would you counsel her this exam needed to be repeated? 

A 45y/o female comes to be evaluated for thickened toe nails that have gotten worse over the last 6 months.  She states that they developed after her family got a hot tub.  She used over the counter nail polish to treat them but they have not changed.  On exam you note thickened toe nails with white patches on the lateral edges with chalky debris noted when you scrape the nails.  What would be the proper treatment for her condition?

* Jing is an 18 mos old infant brought in by her mother with a C/O fussy child with a fever of 100. Past Health Hx – According to mother and chart, recurrent otitis media. No hospitalizations.Social Hx – Stays at daycare when mother working.Present Complaint – four days ago she took her to the ER where she was given a 10-day course of some “pink” medicine (amoxicillin), prescribed for her ears Your exam finds her left tympanic membrane (TM) is red and bulging, has decreased mobility and fluid is present. There is a white patchy area on her palate that is positive for candida Albicans with a KOH prep. Of the following, which would be the best treatment at this time?