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60. A 19-year-old college student presents with fever, fatig…

60. A 19-year-old college student presents with fever, fatigue, sore throat, and diffuse lymphadenopathy. A physical exam reveals pharyngeal petechiae and mild splenomegaly. A rapid strep test is negative. Which of the following is the most appropriate next step for confirming the diagnosis, and what test should be performed if the initial test is negative but suspicion remains high for infectious mononucleosis?

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56. Which of the following findings is most consistent with…

56. Which of the following findings is most consistent with the diagnosis of acute bacterial rhinosinusitis (ABRS)?

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72. A 70-year-old man is having difficulty hearing his famil…

72. A 70-year-old man is having difficulty hearing his family members conversations. He is diagnosed with presbycusis. Which of the following statements regarding his condition is most accurate?

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30. You examine a 38-year-old woman who has presented for an…

30. You examine a 38-year-old woman who has presented for an initial examination and Pap smear. She has no complaints. Her blood pressure is 154/98 mm Hg bilaterally and her body mass index is 31 kg/m2. The rest of her physical examination is unremarkable. Your next best action is to:

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23. Tim, age 59,  presents with sore throat, tonsillar exuda…

23. Tim, age 59,  presents with sore throat, tonsillar exudates, fever and cervical adenopathy. There is no cough. There is a high probability of which causative agent:

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63. A 78-year-old woman has hypertension, a 100 pack-year hi…

63. A 78-year-old woman has hypertension, a 100 pack-year history of cigarette smoking, peripheral vascular disease, and a reduced renal function (GFR =47 mL/min/1.73m2). Triglyceride level is 280 mg/dL. (3.164 mmol/L); high density lipoprotein (HDL) is 48 mg/dL (1mmol/L); and low-density lipoprotein (LDL) level is 135 mg/dL (3.5 mmol/L). Which of the following represents the most appropriate pharmacologic intervention for this patient’s lipid disorders?

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36. From the following list, the most helpful test in suspec…

36. From the following list, the most helpful test in suspected bacterial endocarditis includes

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50. Risk factors for acute otitis media (AOM) include all of…

50. Risk factors for acute otitis media (AOM) include all of the following except:

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22. Laura, age 68 years, complains of sudden onset of impair…

22. Laura, age 68 years, complains of sudden onset of impaired vision, severe eye pain, vomiting and a headache. You diagnose the following condition and refer for urgent treatment:

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39. Heart failure pathophysiology is characterized by:

39. Heart failure pathophysiology is characterized by:

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