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You are seeing a 14-day-old baby. The mother is concerned because the baby “looks yellow”. She is solely breastfeeding about 6-8 times a day for 10 minutes on each side. Perinatal history is unremarkable. The baby’s bilirubin levels are elevated (all indirect bilirubin). Vital signs and weight gain are normal. On physical exam, baby is jaundiced to the umbilicus. Which of the following is the most likely diagnosis?

A 10-month-old boy present for complaints of “screaming episodes” for the past 24 hours. He appears well except for episodes of screaming with flexion of the hips and knees about every 25-30 minutes. The episodes last < 1 minute and he appears well again right after. He has has 2 episodes of non-bilious vomiting. Parents deny fever, blood in stool or vomit. Vital signs and hydration are normal. On exam, he has hyperactive bowel sounds in the right upper quadrant. His abdomen is not notable tender. Rectal and stool exams are negative for blood. What is the BEST next step in management?

A 2-year-old girl presents to your office with her mother with a chief complaint of fever and a cough. The symptoms started about 4 days ago with nasal congestion but then progressed into a cough that can be productive of clear sputum. She is tolerating normal oral intake and making the usual amount of wet and stool diapers. Temperature is 100.8°F, respiratory rate is 30/minute, and pulse oximetry in the office reveals an oxygen saturation of 94% on room air. You auscultate faint wheezing on exam. Chest radiography is unremarkable. Which of the following is the most likely diagnosis based on this patient’s presentation?

An 18-year-old college student with no significant medical history presents to the campus clinic with complaints of a headache, nausea, stiff neck, and fever. Which of the following would most likely confirm a diagnosis?

After completing Leopold’s maneuver, you determine that the fetal back is along the patient’s left side, the fetal head is in the lower uterine segment, and the fetal buttocks are in the uterine fundus. To auscultate fetal heart tones, you should listen in which quadrant of the abdomen?

A nulliparous patient presents with a report of nipple discharge.  The most worrisome presentation of nipple discharge is:

Which of the following is TRUE regarding differential diagnoses for pelvic pain?  

A breastfeeding patient being treated for mastitis with oral antibiotics for 3 days calls to report a persistent fever of 38.4 C/101.1° F. Appropriate management is:

A 35-year-old patient has a productive cough, fever, chills, and myalgia. The patient’s temperature is 101° F and pulse is 100.  The patient is flushed and has rales and dullness to percussion over the right lower lobe. The provider should order which of the following diagnostic tests:

A 37 year-old client is seen for a routine prenatal visit at 35 weeks’ gestation. At a preconception visit their blood pressure was 144/92.  At the first prenatal visit at 9 weeks gestation their blood pressure was 140/90 respectively. Her BP today is 158/92. A 24-hour urine today shows 360 mg of protein.  Based on the information provided, the most accurate diagnosis is: