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Sam is a 19 y/o male who comes to the clinic with a chief complaint...

Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam's condition includes which of the following:

Doxycycline

Azithromycin

Tessalon Perles

All of the above

A & B only


Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is:

Major depression

Bipolar depression

Minor depression

None of the above


Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele's rule, which of the following is her expected date of confinement (EDD)?

March 17, 2021

March 10, 2021

April 10, 2021

April 17, 2021


All of the following are pharmacological treatments for osteoporosis except:

Biphosphates

Thyroid stimulating hormone

TamoxifenParathyroid

hormone analog


The positive signs of pregnancy include all the following except:

Palpation of uterus

Ultrasound and visualization of fetus

Goodell's sign (cervical softening at 4 weeks)

Fetal heart tones


All of the following are characteristic of the S4 heart sound except

Normal finding in some healthy elderly

Occurs during systole

Best heard at apex of the heart

Best heard with bell of stethoscope

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