* Jing is an 18 mos old infant brought in by her mother with a C/O fussy child with a fever of 100. Past Health Hx – According to mother and chart, recurrent otitis media. No hospitalizations.Social Hx – Stays at daycare when mother working.Present Complaint – four days ago she took her to the ER where she was given a 10-day course of some “pink” medicine (amoxicillin), prescribed for her ears Your exam finds her left tympanic membrane (TM) is red and bulging, has decreased mobility and fluid is present. There is a white patchy area on her palate that is positive for candida Albicans with a KOH prep. Of the following, which would be the best treatment at this time?

Linda has come in for follow-up on her recent labs. She is 66 inches in height, weighing 200 pounds. Her fasting plasma glucose level is 198 mg/dL. You are diagnosing her with type 2 diabetes mellitus (DM). . What is the best initial treatment?

*The stage that Erikson identified as a developmental state for a young adolescent is?

How does the HIV virus replicate?

Jessie, age 29, experiences photophobia about 20 minutes before experiencing severe headaches.  The headaches are unilateral and throbbing along with nausea. How would you describe her headache? 

According to the AACE /ACE Diabetes Algorithm for Glycemic Control, the A1C goal for an otherwise healthy diabetic is:

A 45y/o female comes to be evaluated for thickened toe nails that have gotten worse over the last 6 months.  She states that they developed after her family got a hot tub.  She used over the counter nail polish to treat them but they have not changed.  On exam you note thickened toe nails with white patches on the lateral edges with chalky debris noted when you scape the nails.  What would be the proper treatment for her condition?

You are seeing an adolescent male who presents with c/o “enlarged” breast. When is referral to endocrinology indicated in a male patient with gynecomastia?

The most frequently encountered generalized seizure presents as a sudden, tonic stiffening of muscles and is often associated with stridor or an ictal cry, and the patient falls to the ground in a tonic state. What is the name of this type of seizure?    

Bihn, 25 yo, presents with costovertebral tenderness and a several-day history of high fever, chills, and dysuria. Given this information which of the following is your most likely diagnosis?