A 45-year-old male presents with shortness of breath and chest pain after a long flight. On examination, his respiratory rate is 28 breaths per minute, and his oxygen saturation is 88% on room air. On auscultation, you note decreased breath sounds and tachycardia. What is the most concerning finding in this patient?

During history taking, a mother states that her 3 year-old son awoke in the middle of the night complaining of intense itching to his face. Today, your inspection reveals a honey-colored exudate from the vesicular rash on his face. Which condition is consistent with these findings?

A 40-year-old female presents to the clinic with a 4-day history of progressive shortness of breath, fever, and productive cough with yellow-green sputum. She has a history of asthma but no other significant medical conditions. On examination, her vital signs show a temperature of 102°F (38.9°C), respiratory rate of 22 breaths per minute, and oxygen saturation of 93% on room air. You are suspecting this patient may have pneumonia. Which of the following is the most likely finding of your assessment in a patient with pneumonia?

Which of the following are considered TENS Unit

A 32-year-old healthy adult presents with a persistent cough lasting for 3 weeks. Which of the following is the most appropriate next step in the management of this patient?

A 68-year-old male with a history of diabetes and hypertension presents to the emergency department with complaints of worsening fatigue, fever, and a new rash on his legs and torso. On examination, he is febrile (101°F), tachycardic, and has patches of purpura and ecchymosis scattered over his lower legs, as well as areas of pale, cool skin. His blood pressure is 90/60 mmHg. Which of the following physical exam finding is the most concerning in this patient?

A 28-year-old female presents with a pruritic rash on her forearms that began as small red papules, which then developed into vesicles. The rash is distributed in a linear pattern along her forearms. She denies any new medications but mentions handling poison ivy last week. What is the most likely diagnosis?

Epidemiology Extra Credit Question (5 points possible)  Answer the Epidemiology questions based on the scenario below:  A small rural village is experiencing a disease outbreak. 32 people have become ill over the past week and are experiencing watery diarrhea, vomiting and dehydration. You investigate the area and find that they have been disposing of human waste upstream of their village. You collect a water sample and find high numbers of Vibrio cholera bacteria in the sample.     What is the incidence of the disease over the past week? (1 pt) What is the host? (1 pt) What is the etiologic agent? (1 pt) What would you do to prevent the spread of this disease and prevent another outbreak in the future? (2 pts) 

A 4-year-old child presents to the clinic with a history of pruritic, erythematous patches on the flexural surfaces of the elbows and knees that have been present for several weeks. The child also has a history of seasonal allergies and asthma. On examination, the skin appears dry, with lichenification and occasional excoriations. The child has no signs of systemic illness. Based on these findings, what is the most likely diagnosis?

A 55-year-old female presents with acute shortness of breath and a productive cough with green sputum. She reports feeling chills and has a fever of 101°F (38.3°C). On examination, you note rales (crackles) on auscultation, tachypnea, and increased tactile fremitus. What is the most likely diagnosis?