Maggie presents with a several week history of congestion and runny nose “that drips like a faucet”.  She denies fever, chills, body aches or other systemic symptoms.  Exam reveals pale boggy nasal turbinates’, clear post nasal drip.  Remainder of exam is within normal limits.  What is your best plan of care? Select all that apply 

Kyle is a 46-year-old man who presents with complaints of inability to smile on the right side of his face.  The symptoms first began this morning and now he is unable to smile on the right side of his face.  He thinks he may have been bit by a bug or “something” that has caused his problem.  He also complains of being lightheaded and “out of kilter”.   Exam reveals inability to lift right side of mouth to smile, able to raise both eyebrows, otherwise exam of cranial nerves is within normal limits.  PMH:  Hypertension, Type II DM, Hyperlipidemia.  He is a 1 ppd smoker, drives a truck, and consumes approximately a 6 pack of beer nightly.  You are concerned that Kyle has:

Frances is a 68-year-old who presents to your practice with history of Meniere’s Syndrome.   What are the foundations of therapy for this episodic intermittent issue?

Patsy is a 77-year-old woman with history of recurrent UTI.  She has had a lot of issues with various antibiotics, most recently resulting in having an anaphylactic reaction to the Bactrim she was prescribed.  She is very interested in anything she could take to help prevent having another UTI. PMH includes Hypertension, intermittent a-fib, diabetes, chronic renal insufficiency with a recent creatinine clearance of 38 ml/minute. Please select all appropriate options to offer Patsy:

Steve is a 32-year-old male who presents with complaints of a 24-hour history of fever as high as 102F accompanied by chills, low back pain, and dysuria. PMH:  No chronic health conditions.  No routine medications.  NKDA. His partner recently ended their long term relationship of 8 years and he went out with friends two weeks ago as they were determined he should “just forget about her”.  He is fuzzy on the details, but he woke up in bed with a woman he met that night.   Exam within normal limits except for a very tender, boggy prostate. What is your best plan of care?  Select all that apply.

Donna Smith is a 35-year-old female who presents to clinic with chronic aching pain in the cervical and thoracic spine, disturbed sleep, generalized fatigue and frequent headaches. On examination, you find no evidence of joint swelling, warmth or deformity. However, you find numerous tender points over her back and upper extremities. The most likely diagnosis is:

Holly is a 43-year-old who presents with new diagnosis of painful bladder syndrome, also known as interstitial cystitis.  What treatment and management options would you offer Holly.  Select all that apply:

What is occurring between the two species below?    

Malaka is a 59-year-old woman you see in your office who asks about supplements for knee osteoarthritis pain.  She would like to know if she should start glucosamine, chondroitin or perhaps turmeric.  What is your best advice? Select all responses that apply.

(Suvorova, 3 pts).  What parasite-sepcific organelles are involved in Toxoplasma invasion of and egress from the host cell?