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A 5-year-old female presents with fever and sore throat for 2 days. She has tender anterior cervical lymph nodes and tonsillar exudates. She is eating less but remains hydrated, and her parent reports a similar illness in a sibling last week. What is the most appropriate next step?

A 3-week postpartum female presents with severe headache, visual changes, and elevated blood pressure. She had no complications during pregnancy. What is the most appropriate next step?

A 50-year-old female presents with fatigue. Labs show elevated thyroid-stimulating hormone. What is the most appropriate next step?

A 28-year-old pregnant female at 10 weeks gestation presents with persistent nausea and vomiting. She is able to tolerate small amounts of fluids. What is the most appropriate next step?

A 42-year-old female presents with progressively heavier menstrual bleeding over 6 months. Urine pregnancy test is negative and she has no history of bleeding disorders. Exam is unremarkable. What is the most appropriate next step?

A 21-year-old female presents for routine care. She is sexually active and has never had cervical cancer screening. She reports no symptoms. What is the most appropriate next step?

A 6-month-old male presents for a well-child visit. He rolls both ways, reaches for objects, and vocalizes but is not yet sitting independently. He was born full-term with no complications, and his physical and neurologic exams are normal. What is the most appropriate next step?

A 16-year-old female presents requesting contraception. She is sexually active, has migraine with aura, and reports occasional cigarette use. She prefers a method that does not require daily adherence. Which option is most appropriate?

Part 2 – Merck & Co. Inc: (C) Non-GAAP Income and Non-GAAP EPS from Continuing Operations Non-GAAP income is an alternative view of the Company’s performance that Merck is providing because management believes this information enhances investors’ understanding of the Company’s results since management uses non-GAAP measures to assess performance. Non-GAAP income excludes certain items because of the nature of these items and the impact that they have on the analysis of underlying business performance and trends. The excluded items (which should not be considered non-recurring) consist of acquisition- and divestiture-related costs, restructuring costs, income and losses from investments in equity securities, and certain other items. These excluded items are significant components in understanding and assessing financial performance. In fiscal year 2017, Merck reported GAAP income of $1.9 billion and a much higher non-GAAP income of $5.0 billion, inclusive of acquisition and divestiture-related costs of $2.9 billion. Required: In your opinion, which one of these two measures should investors rely on in estimating future income for Merck? Explain. 

Mandatory audit firm rotation has been implemented in the European Union, but not in the United States (US). Based on the readings covered in class, do you believe that audit/financial reporting quality would be improved if mandatory audit firm rotation was implemented in the US? Use any evidence from academic research covered in your class readings to defend your position.