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A 32-year-old woman has an exposure to HIV after a condom broke while having vaginal sex with her male partner who has HIV. She is unsure of his current viral load or whether he has been adherent to antiretroviral therapy. She did not seek care at that time but is now being seen 3 weeks later. Upon using a laboratory-based HIV-1/2 antigen-antibody immunoassay for follow-up HIV testing, which correct item of education should you share with the patient? 

Jim is a 42-year-old mechanic who presents with complaints of a burn to his right hand from a hot engine radiator.  His exam reveals a 6×8 cm bulla to the dorsal aspect of his right hand that extends up and includes his 3rd and 4th fingers.  What key exam finding do you need to evaluate for to decide if referral to a burn center is necessary?

Jacob is a 29-year-old who presents with complaints of a rash to the trunk of his body. He first noticed the rash two weeks ago and has been “scratching like crazy”. In fact, he tells you that it itches a lot worse at night and the lack of sleep is wearing him out. In addition to the rash on his trunk, he also has a few erythematous papules to the finger webs. He mentions that his 5-year-old son has the same thing. What is this rash?

Wesley is a 22-year-old who presents for an employment physical.  He tells you he recently quit smoking and is using “Juul”, a popular nicotine containing e-cigarette as a means to quit nicotine completely.  He has been using the menthol containing product and tells you it is “…so much healthier for me.  They only use the highest quality of ingredients.”  Which  statements are true regarding e-cigarettes?  Select all that apply. 

Patient education is essential with your patient who you just diagnosed with infectious conjunctivitis. Which items should you share with your patient? Select all that apply. 

Your patient does not want to take levothyroxine replacement for her hypothyroidism. Her goal in life is to never be on any medications. As part of your rationale, you explain to her that untreated hypothyroidism can progress to respiratory depression and death. This state is called:

What characteristics are associated with Non-Hodgkin’s Lymphoma? Please select all that apply.

Bauen Sie zwei Sätze mit “Subjunctive 1/Indirect Questions” (wie auf S. 266).  Geben Sie eine englische Übersetzung für jeden deutschen Satz.

Amira is a 19-year-old female who is brought to see you in Student Health accompanied by her friend. Her friend explains that they were sitting listening to a boring lecture when Amira suddenly slumped to floor. She was unconscious for approximately 30 seconds with no seizure activity noted. Amira states that she feels fine, just a little tired because she has been studying hard for upcoming finals. Physical exam reveals A & O x 4, BP lying 106/54 and 114/66 after standing for 1 minute, O2 sat 98% on room air, LS CTA, S1S2 without murmur or abnormal heart sounds, and CN II-XII intact. Which initial diagnostic tests should you complete?  Select all that apply.

Which basic laboratory test is indicated for persons with HIV at entry into care?