In “The Imperfect Enjoyment”, the speaker curses his genitalia, wishing that it will never be capable of urination and that it be stricken with venereal disease.

Answer only one of the following prompts for this essay. It is worth 25 points. Be sure to answer the entire question using specific details.  Your answers should be at least 300 words. Use evidence from the text. Take the time to edit your responses. 1) Explore the consistently courteous courtly behavior of Sir Gawain. OR 2)  Shakespeare’s sonnets often upend expectations, rejecting the hyperbole of love poems and including (sometimes unattractive) realities while affirming what it means to be human. Explore this concept with examples format least 2 sonnets.

61. A 62-year-old patient presents with recurrent nosebleeds, primarily occurring at night. On examination, blood is observed draining posteriorly into the oropharynx. The patient is taking aspirin for cardiovascular disease. Which of the following is the most likely diagnosis, and what is the most appropriate initial management to control the bleeding?

54.  Treatment options for streptococcal pharyngitis for a patient with a penicillin allergy include all of the following except:

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?

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

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?

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:

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:

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?