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? 

A 45 year old patient with known coronary disease as well as Type 2 diabetes has the following lipid panel:  LDL 128, HDL 30, and Triglycerides 208.  What should the first line treatment be?

For the patient in the previous question, what is the most appropriate diagnostic test that will substantiate or confirm your top differential diagnosis?

Which of the following functions is used to narrow down a list?

A 50-year-old woman receiving an annual mammogram is an example of which type of prevention? 

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 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?  

For confirmation of this diagnosis, what will you do?

What is your most likely differential diagnosis for this patient?

Match the following symptoms with mania versus depression