A 36-year-old software consultant complains of burning sensation in his chest, which has occurred almost daily for the last two weeks.  He has had similar symptoms intermittently for the past 6 months and states that the symptoms are now increasing in frequency and severity. His wife has noticed episodes of regurgitation and coughing at night. There is no dysphagia, weight loss, hematemesis, or melena. He has no other past medical history. He is a nonsmoker and does not drink alcohol. Family history is significant only for HTN in father.  On examination, BP is 120/80 mm Hg, HR 76/min, pulse ox (room air) 98%, height 6’4, weight 242 pounds. Physical examination is unremarkable. What would be the most appropriate treatment for this patient?

A 56-year-old male automotive mechanic presents to your Internal Medicine office for a routine exam and states that “my wife made me come in to see you.”  His last office visit was 6 years ago for a broken toe, and he has had no laboratory testing or other diagnostic evaluation in the past 10 years.  HPI and the review of systems are negative except that he currently smokes cigarettes 1 pack-per-day (40 pack-year history).  The patient reports dyspnea on exertion during the past year, and hears audible wheezing at times.  He denies chest pain or pressure and is without other concerns today.  On exam, you hear faint end-expiratory wheezes in the bilateral lung bases.  The remainder of the examination is negative. Height: 5 feet 10 inches Weight: 210 lbs. BMI: 30 BP: 148/86 HR: 84 RR: 14/min T: 98.0°F O2 sat (room air): 93%   Which of the following screening tests would NOT be indicated at this time?

Patient is a 26-year-old female with no significant PMH who presents to Internal Medicine office with recent onset of sore throat, fever, and malaise that developed 7 days ago. She complains of severe throat pain, more pronounced on the right, and right ear pain. She reports severe pain with swallowing and states that for the past day, she has been unable to open her mouth widely. Patient is noted to have muffled (“hot potato”) voice.On physical exam she is breathing comfortably. Her vital signs are temperature, T: 102.2°F; HR 102/min; BP 110/70 mm Hg; and RR 15/min.  Examination of the oropharynx revealed a markedly enlarged right tonsil with associated swelling of the soft palate uvular deviation to the left. The right tympanic membrane is clear, with good light reflex and no bulging. There is tender anterior cervical lymph nodes bilaterally. The lung exam was normal and no stridor was noted.  Throat culture is obtained.  What is the most likely bacterial pathogen isolated from the oropharyngeal culture performed by the provider?

List the 4 reasons to be involved in international trade.

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A load is lifted 4 m using a crane.  If the force required to lift the mass is 100 N, the amount of work done is

When you decide whether or not the data supports the original hypothesis, you are 

What is the kinetic energy of an Peregrine falcon as it dives for its prey?  The mass of a female adult Peregrine falcon is 1.5 kg and she can dive at a speed of 107 m/s.

The same net force if applied to object A and object B.  The observed accelerations of the objects are not the same:  object A has an acceleration three times that of object B.  Which of the following is correct?  

A patient was brought in to the ER from a burning home and showing respiratory distress. Assessment reveals chest retractions, use of accessory muscles of inspiration and marked stridor on auscultation. What should be recommended now?