Passage (extract):It was early morning. The village lay quie…

Passage (extract):It was early morning. The village lay quiet under a blanket of mist. A single cart rattled down the cobblestone street, breaking the silence. Windows were shuttered, doors closed, and the air smelled of damp earth. What impression do you get of the village in the morning? (2 marks) How does the writer use language to create a sense of atmosphere? (4 marks What evidence is there in the passage that the village is not fully awake yet? (2 marks)

A 58-year-old patient presents to the clinic with mild heari…

A 58-year-old patient presents to the clinic with mild hearing loss and a sensation of fullness in the left ear. Otoscopic exam reveals a large amount of soft cerumen partially occluding the external auditory canal. The patient denies pain, drainage, or history of ear surgery. What is the most appropriate initial management?