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Mr. S presents to the urgent care clinic with pain, tenderness, erythema, and swelling of his left great toe. You suspect acute gout. Which of the following initial test results would you expect for this patient?

*A chronic cough lasts longer than:

Mary is 75y/o seeing you for severe depression after the unexpected death of her husband of 55 years 1 year ago.   Mary has been feeling very tired and fatigued, barely able to bathe and feed herself.  She has no children or family nearby and few friends with whom she associates. Her exam and labs are all within normal limits.  You decide to start her on an antidepressant. When would you want to see Mary again in clinic?

The area most symptomatic from carpal tunnel syndrome is:

Which ECG change is typical of cardiac ischemia?

A(n) ________ item is a hardware or software item that is to be modified and revised throughout its life cycle.

Will a 24 year-old African American male, has a rash on the arm.  The rash began as a dry, scaly “bump” which 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?

A 25 y/o female presents with large erythematous area to her leg (4x8cm).  It started 4 days ago when she scratched her self on a nail from her dining room chair.  Today, she started to feel bad and is having a fever.  The leg hurts more today. The area is very warm and painful to touch, no rash noted. What is your diagnosis?

Jessie, age 29, sees flashing lights 20 minutes before experiencing severe headaches in addition to nausea. How would you describe her headache?

The initial treatment of choice for metabolic syndrome is lifestyle modifications