IBT Clinic uses client-visits as its measure of activity. During January, the clinic budgeted for 3,500 client-visits, but its actual level of activity was 3,490 client-visits. The clinic has provided the following data concerning the formulas used in its budgeting and its actual results for January:Data used in budgeting:   Fixed element per month Variable element per client-visit Revenue   –   $ 38.20             Personnel expenses $ 33,600   $ 11.00 Medical supplies   1,900     6.20 Occupancy expenses   10,200     1.90 Administrative expenses   6,600     0.30 Total expenses $ 52,300   $ 19.40 ​ Actual results for January:     ​ Revenue $ 127,218   Personnel expenses $ 71,860 ​ Medical supplies $ 24,058 ​ Occupancy expenses $ 17,371 ​ Administrative expenses $ 7,547 ​ ​ ​ The overall revenue and spending variance (i.e., the variance for net operating income in the revenue and spending variance column on the flexible budget performance report) for January would be closest to: 

The presence of a tender adnexal mass in a woman with PID is most likely due to the presence of:        

Which is the recommended first-line treatment option for endometriosis in patients desiring contraception?

Explain the difference between primary and secondary dysmenorrhea and include a reason that each may occur.

Please match the following conditions typically seen in menopause with their appropriate treatment options.

In symptomatic patients which infection(s) would you treat with metronidazole (Flagyl)?

Your patient with amenorrhea has normal lab work and you discuss a progesterone challenge with her. What medication would you suggest and when would you expect her to have withdrawal bleeding?

Your 22 year old patient is having bilateral breast discomfort that usually begins a week before her period starts. This has happened for about the last six months. She rates the pain at 5/10, and describes it as being mostly in the upper outer portion of each breast. She denies nipple discharge of any sort. She thinks she may have some form of breast cancer, Discuss the necessary elements of your history and physical exam to provide a reasonable diagnosis for this patient. Also, list at least three differential diagnoses for her condition. as well as your most likely diagnosis.

For two points create a question on a topic you were prepared to answer. Provide four answers indicating the correct answer with rationale.

During the early menopause transition, which of the following symptoms would you expect to find in your patient? (Select all that apply)