Akemi is a 34-year-old who presents with complaints of intermittent ear pain that seems to radiate down her jaw and sometimes is hearing a crinkling sound in her ear.  She tells you that the pain typically lasts a few minutes at most and then will improve.  She says “I feel like I need to pop my ears”.  What is your plan of care?  Select all that apply. 

Anna is a 21-year-old who presents to your practice with a 48 hour history of a very sore throat with a fever as high as 102.3 degrees, fatigue, and myalgias.  Her exam reveals a beefy red pharynx, 3+ tonsils with white exudate, prominent anterior and posterior cervical nodes and mild bilateral upper abdominal tenderness without organomegaly.  Your most likely diagnosis is:

Stacy is a 23-year-old female in clinic today.  Presenting symptoms include congestion, facial pressure, nasal drainage that appears cloudy in nature, and a bad headache.  She reports this started a few weeks ago and the symptoms got better for a few days, but now are worse than before.  She is worried, as typically, her “normal” remedies are not working.  Stacy does not have any known drug allergies.  What is your best diagnosis for this patient and approach to her care?

Your 18-year-old patient complains of an extremely sore throat and that it hurts to swallow. Her symptoms began 48 hours ago. She mentions that her roommate in the dorm is being treated for strep throat. She is on no medication, has no past medical issues, and has no allergies. Her rapid strep test is positive. Which antibiotic would be first-line treatment for this patient? 

Lily is a 19-year-old who presents with complaints of erythematous, itchy area surrounding the piercing site in her ear.  She denies tenderness or pain.  What is your plan of care?  Select all that apply. 

Which signs and symptoms are indicative of acute sinusitis?

S. Chou presents to clinic with complaints of sudden onset fever, fatigue, cough, and headache. The symptoms seem to improve slightly after the patient takes ibuprofen 600 mg. Which statement aligns most closely with the presenting symptoms?

Adam is a 32-year-old who presents with a wedge type laceration to the auricle of his right ear.  You note the laceration goes completely through the auricle and has a 8 mm gap.  Please select all statements that apply for care of Adam. 

Rochelle presents with allergic rhinitis. She is a Fed Ex driver. No significant PMH. What course of treatment would you recommend?

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: