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A 32 year old woman comes to the office and states that she has decreased hearing and pain in her L ear. She states it started when she got back from vacation in Spain. The patient has no pain or swelling of the external ear, no canal swelling, and an erythematous bulging tympanic membrane on the affected side. What would her diagnosis be?

You have a 24 year old female who comes to the office c/o lower abdominal pain. She states that the pain started 2 days ago became severe this am. On exam she has significant LLQ tenderness, a rigid abdomen, and rebound tenderness. What would be the MOST important piece of information to get next?

The #12 arrow is pointing to which structure? IMG_3116.JPG [BLANK-1]

A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. His diet would contribute to this problem if it consists primarily of:

Which one of the following would be classified as a symptom?

The #24 arrow is pointing to which structure? IMG_3125(1).JPG   [BLANK-1]

R.J. presents with complaint of sore throat and fever. Which of the following findings on exam would be most concerning?

While doing an assessment of the perianal area of a client, you note the following: pigmentation of anus is darker than surrounding skin; anal opening closed; a skin sac that is shiny and blue. The client has had pain with bowel movements and noted some spots of blood occasionally. You interpret these data as indication of:

You suspect that Mrs. W. is suffering from appendicitis. Which of the following physical examination procedures would provide helpful information?

All of the following questions are in the CAGE questionnaire EXCEPT: