A 54-year-old patient, who is returning from an extended vacation, presents with severe acute bacterial sinusitis with no clinical improvement after two rounds of antibiotics in past month.  Initially he was treated with Amoxicillin, then with Doxycycline.  This is his third episode of sinusitis in 12 months.  The PMH includes uncontrolled diabetes with a recent A1C of 14 % . You should:

A 59-year-old patient tells you she had an OTC COVID test that was positive. She has been feeling unwell for 2 days with a cough, sore throat, and mild body aches.  She has not had any fever or chills.  She believes it is her usual autumn sinus infection she gets every year as she has been fully immunized for COVID and is extremely careful when in public about illness exposure. What is the best advice you can offer her?

Mary is a 68-year-old retired ICU nurse who presents today in clinic after insisting to see “someone”.  Her physician is out of town, and you are it!  Mary’s past medical history includes asthma, COPD, recently diagnosed with hypertension, smokes 1 pack per day, is undergoing treatment for breast cancer with chemotherapy, and hyperlipidemia.  Mary tells you she has a 12-day history of facial pain, nasal discharge, fever and a headache.  Physical exam includes cobblestone posterior pharynx, and tenderness to percussion over maxillary sinuses; remainder of physical exam is normal.  You diagnose her with acute bacterial rhinosinusitis. What is the best treatment option?

What is my cellphone number?

The gate-control theory of pain modulation states that ________.

Which of the following is not altered within seconds to minutes of the baroreceptor reflex being activated?

SECTION D. CULTURA 2. Write a superlative statement describing which of the three countries we studied in this unit is the most interesting and why (the sentence need not be especially long or complicated). (2 pts; 1 pt for grammar, 1 pt for content)

SECTION C. GRAMÁTICA 3. ¿Quién es mi nuevo/a compañero/a? Using a reflexive verb in the nosotros/as form, write one sentence to describe something about your daily routine that you have in common with either Ana or David. (2 pts; 1 pt grammar, 1 pt content)  

SECTION C. GRAMÁTICA 4.  ¡Llega mi compañero/a! Your new roommate is about to arrive! Before they do, you’ve decided to clean the house. Complete the phrases to describe what chores you and your helpers are currently doing (present progressive) by writing out the missing word (form of the verb “estar” or gerund). (5 pts; 1 pt/question) Modelo: Q: Nosotros ___ planchando la ropa. A: estamosQ: Nosotros estamos ___ la ropa. A: planchando 1. Yo [form of estar] llenando el lavaplatos.  

SECTION A. COMPRENSIÓN AUDITIVA. ¡A estudiar en Costa Rica! You are planning to study abroad in Costa Rica soon, and you need to find an apartment near the campus of la Universidad de Costa Rica. Listen as the real estate agent describes a potential apartment and indicate whether the following things are mentioned (se menciona) or are not mentioned (no se menciona). (5 pts; 1 pt/question) 1. La distancia entre el apartamento y la universidad