A 28-year-old female graduate student presents to your clini…

A 28-year-old female graduate student presents to your clinic with complaints of fatigue, low-grade fever, anorexia, and mild right upper quadrant abdominal pain for the past 5 days. On physical examination, she is icteric and reports dark urine and pale stools. Laboratory studies reveal AST 820 U/L, ALT 950 U/L, and total bilirubin 4.2 mg/dL. She denies alcohol use, IV drug use, recent tattoos, or blood transfusions. She reports no known sick contacts but recently returned from a two-week volunteer trip to a rural region in Central America, where she frequently ate meals with local families and drank beverages prepared at home. Given this presentation, what is the most likely primary source of her hepatitis A infection?

Bramazon, a multinational corporation with headquarters in t…

Bramazon, a multinational corporation with headquarters in the United States, is involved in wine making and distribution around the world. Bramazon employs an attorney in the role of general counsel who supervises several lawyer employees licensed in the state where the corporation is headquartered. Because Bramazon wants to expand its presence in a foreign country, the attorney has hired as a new employee a foreign lawyer licensed only in that country. The foreign lawyer is a member in good standing of the legal profession in that country and is subject to regulation by its disciplinary authority. The foreign lawyer has now moved to the United States and has established a continuous and systematic presence in the state where the corporation is headquartered. The state permits foreign lawyers who complete a master’s degree to take the bar exam, but the foreign lawyer has not applied to become licensed as a lawyer in the state. The foreign lawyer works on Bramazon’s operations of growing grapes in the foreign country and exporting them to the United States for processing. The foreign lawyer does not work on legal matters involving US law. Is the attorney subject to discipline for employing a foreign lawyer who practices in the state without being licensed there?

A 47-year-old right-handed carpenter presents to the clinic…

A 47-year-old right-handed carpenter presents to the clinic with a 6-week history of progressively worsening pain over the lateral aspect of his right elbow. He reports that the pain is aggravated by gripping tools and lifting objects, particularly when his arm is extended. He denies any trauma, numbness, or systemic symptoms. On physical exam, there is tenderness over the lateral epicondyle and pain with resisted wrist extension. Based on this presentation, which of the following is least likely to be a contributing risk factor for this patient’s condition?