Diane is a 21-year-old with complaints of abdominal pain. She is moving very carefully and slowly, making no unnecessary movements. When you inquire where her abdominal hurts, she points directly to the right lower quadrant with her index finger. Diane’s abdominal pain can best be described as one of:

Laksmi is a 28-year-old woman who presents with complaints of severe nausea, vomiting, and diarrhea.  In addition to the extreme symptoms, she has also noticed that her eyes appear yellow.  She recently returned from a trip to Mexico where she ate raw oysters.  You suspect hepatitis A.  What is your best plan of care.  Select all that apply. 

Crystal, a 52-year-old female patient, is being seen today for eye pain. She told the medical assistant (MA) she started playing pickleball recently and loves it!  Unfortunately, she wasn’t wearing eye protection and was hit in the eye with a ball; she also reports blurred vision and is sensitive to light.  Below is an image of the patient’s eye.  What is the most likely diagnosis and treatment for this patient?  

A patient is being seen in clinic for the first time. When reviewing the initial patient information, the nurse practitioner notices the BMI is 34 kg/m2.  The medical assistant has reviewed the patient’s home medication list and confirmed she is taking the medications listed in the electronic medical record.  Anticipating the patient may want to talk about weight loss, what medications have the potential for weight gain?

A 29-year-old woman is newly diagnosed with early HIV infection. She is believed to have acquired HIV approximately six weeks prior from a male partner. She has a new male partner, but they have not yet had sex. You are discussing starting treatment and she is asking how likely is it that she will transmit HIV to her new partner. Which correct piece of education should you share with this patient regarding HIV transmission from persons with early HIV infection? 

Bauen Sie zwei Sätze mit “Subjunctive 1/Expressing information questionable to the writer” (wie auf S. 266-67).  Geben Sie eine englische Übersetzung für jeden deutschen Satz.

Bauen Sie zwei Sätze mit “Subjunctive I in Indirect Discourse” (wie auf S. 265-66). Benutzen Sie die Vergangenheitsform von Subjunctive II. Geben Sie eine englische Übersetzung für jeden deutschen Satz.

If you could go back in time to August 2024 and give your past self three pieces of advice on how to succeed in N8400 & N8410, what would you tell yourself and why? Describe three items to earn the three points. 

MMA (methymelanic acid) levels are measured to see if an individual has a deficiency of:

Jacob is a 29-year-old who presents with complaints of a rash to the trunk of his body. He first noticed the rash two weeks ago and has been “scratching like crazy”. In fact, he tells you that it itches a lot worse at night and the lack of sleep is wearing him out. In addition to the rash on his trunk, he also has a few erythematous papules to the finger webs. He mentions that his 5-year-old son has the same thing. What is this rash?