A 61-year-old woman with new-onset constipation and unintentional weight loss denies opioid use. What is the next best step?

A 59-year-old has brief, electric-shock facial pain triggered by chewing; neurologic exam is normal. What is the first-line medication?

A 39-year-old barista develops gradual-onset lateral elbow pain that worsens when lifting milk pitchers and when gripping the portafilter at work. Examination shows point tenderness just distal to the lateral epicondyle, pain with resisted wrist extension, and full elbow range of motion without swelling, warmth, or neurologic deficit. She has not had prior injections or imaging and wants to keep working if possible. What is the most appropriate initial management?

A 54-year-old man with long-standing heartburn now has difficulty swallowing solid foods. What is the best next step?

This course has improved my ability to collaborate with others

In-class activities and/or discussions made class more interesting and/or enjoyable

The BATs helped me focus my studies

How would you know if a watershed was at equilibrium? Use the terms from the watershed balance equation in your answer: P, Q, ET and ΔS (1-2 sentences)

The modeling project helped me learn about hydrology and sustainable water management

Discussions made class more interesting and/or enjoyable