A 12-year-old boy is brought to your office by his mother. He is complaining of right ear pain for the last 24 hours. The mother states the patient spent the last four days swimming in the pool and began to complain of pain in the right ear yesterday afternoon. The patient also states he has been using cotton swabs in his ear to remove excess water. On examination, the patient is afebrile. Otoscope examination is significant for clear fluid material in the ear canal, which is inflamed. There is tenderness to the pinna.   What is the most likely diagnosis?  

You have diagnosed a 2-year-old child with otitis media. His last episode of otitis media was 6 months ago. What antibiotic will you place patient on considering he has no allergies? 

A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?

When checking for the red reflex on a 2-year-old female during a well-child visit, the nurse practitioner notes a white reflection on the child’s left pupil. Which of the following conditions should be ruled out? 

Consider the following code… const add = (x, y) => x + y;const sub = (x, y) => x – y;const calc = (f, x, y) => f(x, y); Which of the following will result in an error?

A 36-year-old female was working on her deck 2 hours ago when her thumb got caught between two planks of wood. She is reporting severe persistent pain in the left thumb nail and states it seems to be getting worse. On exam the patient’s thumb nail has black/purplish discoloration underneath the intact nail. She maintains normal AROM, and is neurovascularly intact. There is a XR negative for fracture. Based on her exam, what is your diagnosis and what would you recommend? 

According to JNC-8 guidelines, which of the following is the most appropriate threshold to treat a 70-year-old Caucasian male for hypertension?

What sensory screening is recommended universally at the following Well Child Visits: newborn, 1 week, 2 month, 4 year, 5 year, 6 year, 8 year, 10 year and once during early, once during middle and once during late adolescence?

Match the following symptoms with mania versus depression 

A patient has a sore throat, temperature of 101.3 degrees Fahrenheit, + bilateral tonsillar exudates and cervical lymphadenopathy. What will the provider do next to manage this patient’s symptoms?