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Amanda Hughes is a 25-year-old school teacher who presents to your practice with complaints of cough, fever and myalgia.  “I feel just awful”.  She experienced sudden onset of symptoms this a.m. In addition to her cough and achiness,  she has a “horrible headache”, fever of 104 degrees and slight nausea.  She is ill appearing and laying on the exam table when you enter the exam room.  Other than that and temperature of 104.2, her physical exam is unremarkable.  From this description, you suspect that she has:

Sam is a 52-year-old who presents with complaints of left ear pain.  He just returned from a weeklong trip to Jamaica.  He states “I hate to fly, I always get sick”.  On exam, he has pain with left pinna movement and you are unable to fully visualize the TM secondary to purulent exudate in the canal.  Portion of TM visible is without erythema. The canal is also reddened and swollen.  What is your most likely diagnosis?

Reacciones y recomendaciones. Complete la oración según la traducción de inglés.  I doubt that he has driven with care.  Dudo que él ________ (manejar) con cuidado. (2 pts) (Write the best translation of the missing words in the box below.)

Please select all options that are appropriate for treatment of otitis externa.  Select all that apply. 

 According to space law, who is responsible for damage caused by space objects (such as if a satellite fell and damaged property)?

The APRN receives a lab throat culture report showing a positive Group A beta streptococcus. The patient’s history indicates an allergy to penicillin – Type 1 reaction (anaphylaxis). Which antibiotic is most appropriate to prescribe? 

 How are trade secrets protected?

Kayla is a 28-year-old who presents with complaints of red, painful, swollen, right ear.  She has history of multiple piercings and has never had an issue until recently.  She received new piercing to the auricle and has developed erythema, edema, pain and crusting.  She denies itching or peeling of skin.  She has removed all piercings hoping this would help the issue, but it hasn’t.  What is your best working diagnosis and plan of care? 

 What does the US Safe Web Act do?

You just wrote your first hit song and it is now on sale everywhere.  Which of the following gives you automatic protection of the characters and story for life plus 70 years?