Rochelle presents with allergic rhinitis. She is a Fed Ex driver. No significant PMH. What course of treatment would you recommend?

Amanda Hughes is a 25-year-old school teacher who presents to your practice with complaints of cough, fever and myalgia.  “I feel just awful”.  She experienced sudden onset of symptoms this a.m. In addition to her cough and achiness,  she has a “horrible headache”, fever of 104 degrees and slight nausea.  She is ill appearing and laying on the exam table when you enter the exam room.  Other than that and temperature of 104.2, her physical exam is unremarkable.  From this description, you suspect that she has:

Tim is a 28-year-old who complains of a severe sore throat, especially on the right side.  He also has complains of dysphagia.  No history of preceding upper respiratory tract infection.  His temperature is 102.8 degrees, anterior cervical nodes are enlarged, throat is erythematous with exudate.  Unilateral increased edema to the right tonsillar area with uvula deviation away from the affected tonsil.  The most likely diagnosis is:

Pete is a 52-year-old local business owner who presents today with acute onset of not feeling well that began 2 days ago.  No significant previous medical history.  He received his initial series of COVID vaccinations, and the last flu shot.   “I haven’t kept up with all those COVID boosters, I think I missed one or two in there”.  He has been running 102.5-degree fever for the last 48 hours, has a terrible cough, headache, and chills.  He hasn’t been around anyone else that was sick, that he knows of at least.  Exam otherwise WNL.  Based on Pete’s presentation, your most likely differential diagnosis and treatment plan is:

Which items are most critical to include in the plan of care discharge education for a patient diagnosed with mononucleosis (Epstine-Barr virus)? Please select all that apply.

Roy is a 62-year-old who is in to see you for routine follow up on his hypertension, he is otherwise healthy.  While in the office, he mentions he is going to be grandpa for the first time and he is over the moon.  What immunizations would you recommend he receive prior to the birth of his first grandchild? Please select all that apply.

What is your best plan of care for a patient with a suspected a peri-tonsillar abscess?

Nyala is a 53-year-old who presents with complaints of worsening cough.  You obtain a chest x-ray.  What does this image suggest? Please choose the best response. 

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?