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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? 

The inflammatory bowel disease that is characterized by bloody diarrhea, primarily involves the rectum and lower colon, but can affect the entire colon is:

MMA (methymelanic acid) levels are measured to see if an individual has a deficiency of:

Ed Murphy is a 66-year-old who presents today with complaints of chest pain. He states that it is left sided and gradually worsening over the last 48 hours. He has obtained no relief with rest, food, exercise, Mylanta, or Tylenol. He states it hurts all the time and is worse when his chest touches something and that when he took a shower this morning, the hot water hurt that same area.  He states it is waking him up at night. He is on no routine medications, normal vital signs and exam.  What is your most likely diagnosis?

Frederick is a 42-year-old male who sustained significant full-thickness burns to 30% BSA after pouring gasoline on a fire. In addition to care for his burns, the APRN ensures:

Melinda is a 58-year-old who presents to clinic today with sudden onset of shortness of breath and slight sharp chest pain.  She indicates she flew in from Australia last night and initially thought that her symptoms may be due to jet lag from travel. However, the shortness of breath has become more intense and she wonders if she could have contracted COVID pneumonia on the plane.  Routine meds include lisinopril, metformin, atorvastatin, premarin, and provera.  What is your primary differential diagnosis?

Kyle presents to your office Monday morning at 8 a.m. requesting that you take a look at his hand.  His right hand is erythematous, edematous, warm as well as painful.  You finally get him to sheepishly admit that he “acted the fool” Saturday night in a bar when he was out with friends and punched a guy right in the mouth.  “Dang, that hurt way more than I thought it would and now it REALLY hurts”.  Focal area of involvement seems to be two bite wounds to the third and fourth PIP joints with significant erythema, edema, and pain to palpation with the entire hand involved as well.  “It just keeps getting worse and worse”.  He denies fever and remainder of exam is normal.  What is the best plan of care for Kyle?

You are reviewing labs from the preceding day’s clinic. You note that a 30-year-old female with history of stable hypothyroidism and who is on Levothyroxine 75 mcg, now has a TSH of 14.1. What is your approach to this case? Select all that apply.