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A 65 year old patient presents to the office for right sided headache on and off for the past several days. The patient notes that he also has double vision over the right eye and tenderness in his jaw when he is eating. He denies cough, congestion, runny nose, watery eyes.  On exam, you note tenderness over the right temporal side of his face but no lesions/rash, edema or erythema. His vision is 20/20 corrected with glasses. Based on this information, what is the most likely diagnosis?

The NP has prescribed isotretinoin to a 17 year old female patient with severe acne. What are the instructions to the patient with this medication?

A 31 year old female presents to the office for complaints of fatigue and dry skin.  Her symptoms have been present for over 3 months. She denies history of anxiety and her GAD score is 2. She also denies depression (PHQ9=2).  She is up to date on her pap. On review of her chart, you note she has gained 6 lbs .  Physical Exam: T 99.0, HR 88, BP 132/88 You have checked labs on her and these are the results.  WBC-8,300 Hb=14.1 TSH =9.3 (normal 0.300-4.2) Free T4= 0.40 (normal (0.60-1.70) What is your next course of action?

A 37 year old male presents to the office with a painful “bump” on his left upper eyelid.  A visual acuity check shows normal vision. On inspection of the eyelid, he has a small palpable lump on his left upper eyelid that is tender with edema an erythema. There is no drainage in the eye. Remainder of exam is normal. What are your recommendations for the patient?

A 22 year old female presents to the office for complaints of rhinorrhea, sneezing, and watery eyes  for the past 3 weeks. She reports a cough and congestion that started 2 weeks ago. On exam you note that vital signs are stable, nares are swollen with watery discharge. The remainder of her exam is normal. What is the best treatment for her symptoms?

A 22 year old day care worker presents to the office with bilateral red eyes for the past 2-3 days. She reports that it started with the left eye and then moved to the right eye. She notes that several kids in the daycare have the same symptoms.  She indicates that her eyes are very itchy and that she has been experiencing a watery discharge from the eyes as well. She denies any yellow/green discharge, crusting or matting of the eyes or lids. She denies changes in vision, double vision or blurry vision. On examination you note a normal fundoscopic exam, PERRLA, EOMI and tarsal conjunctiva have a bumpy appearance. What are your recommendations for treatment?

¿Me lo traes? Match each question with the correct response.

Verbos irregulares Complete the following sentences in the PRETERIT TENSE with a verb from the word bank. dormir pedir leer repetir oír servir Los muchachos [BLANK-1] café para tomar. Nosotros [BLANK-2] la receta con mucho cuidado. Loreta y Linda no [BLANK-3] muchas horas anoche. Yo [BLANK-4] las noticias por la radio. El profesor [BLANK-5] la lección tres veces. El mesero me [BLANK-6] una torta deliciosa.

Using the pictures as a guide, complete these superlative sentences.  supelative_1_.jpgsupelative2(1).jpg Elena es [BLANK-1][BLANK-2]alta[BLANK-3] las tres amigas. Jorge y Juan son [BLANK-4][BLANK-5][BLANK-6] todos. (oldest) Maribel es [BLANK-7][BLANK-8]estudiosa[BLANK-9] las tres amigas. Cristina es [BLANK-10][BLANK-11]jugadora de baloncesto[BLANK-12] las tres amigas.(best) Julio es [BLANK-13][BLANK-14]rubio[BLANK-15] todos.

Formar el tiempo progresivo Complete the following sentences by conjugating a verb from the word bank in the present progressive. Be sure to use each word only once. beber comer escribir escuchar hacer jugar lavarse ver 1. Nosotros [BLANK-1][BLANK-2] limonada. 2. Carlito y Francisco[BLANK-3][BLANK-4] el partido de fútbol en la televisión. 3. Yo [BLANK-5][BLANK-6] la radio. 4. Tú [BLANK-7][BLANK-8] en tu cuaderno. 5. Sara [BLANK-9][BLANK-10] una hamburguesa. 6. Ellos [BLANK-11][BLANK-12][BLANK-13] el pelo. 7. Yo [BLANK-14][BLANK-15] la cama porque mis padres vienen de visita. 8. Nosotros [BLANK-16][BLANK-17] al fútbol.