Mrs. Smith is a 58 year old white female with the following CBC results: RBC 3.2 thou/ccm                       5-11 thou/cmm                                                 Hgb 10.2%                                 12-16% Hct 28.1%                                  36-48% MCV 69                                      78-102 u(3) Serum folate 3.8 mg/ml               3.5-5.0 mg/ml B12 228 pg/ml                            110-1500 pg/ml Total iron binding capacity 388     224-428 % Ferritin  175mEq                         12-300 mEq Based on this information, which of the following is the most appropriate diagnosis?

A patient reports painful oral lesions 3 days after feeling pain and tingling in the mouth. The provider notes vesicles and ulcerative lesions on the buccal mucosa. What is the most likely cause of these symptoms?

Mrs. Brookes, aged 68 years, presents to the clinic for her yearly physical and laboratory tests.  Her CBC reveals the following: RBC 4.8 thou/ccm                                 5-11 thou/ccm Hgb 11.8%                                           12-16% Hct 32.1%                                             36-48% MCV 112 u(3)                                        78-102 u(3) B12 224 pg/ml                                      110-1500 pg/ml                                 Serum folate 2.1mg/ml                          12-45.3 mg/ml Based on this information, which of the following is the most appropriate diagnosis?  

A patient has bilateral bleeding from the nose with bleeding into the pharynx. What is the initial intervention for this patient?

Matt, aged 5, is brought to the clinic by his mother for complaints of having a red eye. She states that he woke up with a thick, purulent discharge from the left eye that required warm water to remove. She states that he has been rubbing his eye all day and that he covered his eye when going out to play earlier.  Which is the most appropriate diagnosis?

Jack is a 2 year old, Caucasian male with a chief complaint of fever and left ear pain for two days. His mother reports Jack has been pulling on his ear and not eating as much. The assessment reveals bulging, erythematous right tympanic membrane, purulent nasal drainage, and posterior cervical lymphadenopathy. Which of the following is the first-line treatment for Jack’s diagnosis?

Mr. Hamblen, a 56 y/o, Hispanic-American, male who presents to the clinic with chief complaint of photophobia for six hours. He admits tearing of both eyes and decreased visual acuity. The assessment reveals sluggish pupil reaction.  Which of the following is the most appropriate diagnosis and treatment? 

While all types of melanomas are serious, which of the following is the most aggressive?

Mr. Long presents to the clinic with chief complaint of fever for three weeks. He reports fever of 102°F, headache, sinus pressure, fatigue, facial swelling and tenderness to the left side of his nose for four weeks. He states that he completed his Bactrim antibiotic three weeks ago and completed Augmentin yesterday as prescribed.  He denies vision changes.  Which of the following is the most appropriate intervention?

Which of the following sites are most common for squamous cell and basal cell carcinoma?