The inflammatory bowel disease that affects all layers of the GI tract, usually involves the lower portion of the small intestine, but can impact anywhere in the GI tract from mouth to anus is:

Tim is a 48-year-old farmer who presents with a 5 day history of fever, chills, and headache, as well as a rash to his entire body.  He thought he had the flu, but when his rash has continued to worsen, his wife insisted he must be seen.  He tells you he has no recent travel and did not receive his flu shot last fall.  The rash initially was just on his wrists and ankles but now has moved inward and covers his trunk.  He feels horrible but tells you he has “no time to be sick, I’ve got to get my soybeans out and I don’t have time for this garbage”.  What is the best plan of care for you to offer to Tim?

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.