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John is a 86-year-old male who presents with complaints of cough, SOB, wheezing and congestion for the last 2 days.  He has had fever up to 101 degrees Fahrenheit, denies nausea or vomiting.  He is fully immunized for COVID-19 including all boosters.  He has not had COVID previously.  PMH:  MI with stents 6 years ago, hypertension, hyperlipidemia, diabetes, and renal insufficiency.  Routine medications include metoprolol, lisinopril, metformin, apixaban (Eliquis) and rosuvastatin (Crestor).   VS:  T- 102.4  P – 78  R – 16 BP 132/80 Pulse ox 95%.  He is ill appearing, but has a normal physical exam other than the noted vital signs.  His in-office COVID antigen test is positive.  He would like information about Paxlovid to treat his illness. What is plan of care?  Select all that apply.

Bud Lancaster is an 82-year-old who presents with complaints of  problems concentrating and just not feeling well.  He has had a recent upper respiratory infection that he thought was improving, but has lingered on for a few weeks now. His wife, who accompanies him today, is concerned that for the last few days, Bud has been more forgetful, short of breath, and just doesn’t seem to be himself.  His appetite is diminished and he is sleeping very restlessly the last few nights as well. He is routinely on a low dose ACE inhibitor for hypertension (well controlled) and has NKDA.  PMH:  hypertension. VS: Temp 98.9, Pulse 96, Resp 24, BP 110/68, pulse ox 92%.  Exam is unremarkable except for some post nasal drip. What is the best plan of care for Mr. Lancaster?

Enseñar a niños puede ser muy _____ (rewarding, gratifying, fulfilling) cuando ves su progreso y entusiasmo por aprender. (The answer begins with the letter g.)

Hay muchas características que necesitas si vas a tener un negocio. Tienes que ser una persona _____(driven, entrepreneurial) . (The answer begins with the letter e.)  

Don is a 74-year-old male, with past medical history of recurring bronchitis, chronic obstructive pulmonary disease, previously smoked 1 ppd X 60 years, type 2 diabetes, hypertension, and hyperlipidemia who presents today in clinic with symptoms of a common cold.  You know it’s a cold, your patient Don knows it is a cold, but he tells you he is going up north in less than 48 hours to golf with a bunch of his buddies and he is asking for an antibiotic, because he knows it will make him feel better for his big golf trip.  Select the best response.

Complete las oraciones con el presente o pasado de indicativo o subjuntivo, según el contexto. Cuando Sergio _____ (preparar) un evento, siempre trabaja mucho. (When Sergio prepares an event, he always works a lot.)

A 59-year-old patient tells you she had an OTC COVID test that was positive. She has been feeling unwell for 2 days with a cough, sore throat, and mild body aches.  She has not had any fever or chills.  She believes it is her usual autumn sinus infection she gets every year as she has been fully immunized for COVID and is extremely careful when in public about illness exposure. What is the best advice you can offer her?

Pregunta.  Conteste la pregunta con oración completa de por lo menos venite palabras.   ¿Cuáles son algunas de las profesiones que tendrán más salida en el futuro? ¿Por qué? (Grammar, content, 6 pts)  

Tyler is a 28-year-old male who presents with complaints of fever and cough for the last 10 days.  PMH:  No chronic issues.  PSH:  Femur fracture repair 10 years prior.  Splenectomy 10 years prior.  Non-smoker.  Chest x-ray reveals a consolidation in the right middle lobe.  What is your best treatment option? 

A 22-year-old presents with fever for 24 hours, temp max 101.8 Fahrenheit.   She has recently returned from vacation in France. Patient is current with both COVID and influenza vaccinations. Medical history is significant for mild persistent asthma. Allergies: Pollen. VS:  T 101.0 Fahrenheit, Pulse 82, Resp 16, BP 110/70.  Other than her fever and that she does not appear to feel well, her exam is normal.  What is the best diagnostic approach for this patient?