A 34-Year-Old Woman Comes to the Urgent Care Clinic Due

question 55

Multiple Choice

A 34-year-old woman comes to the urgent care clinic due to a cough.  Her symptoms began 5 days ago with nasal congestion, rhinorrhea, and subjective fever, followed 2 days later by a cough.  The initial symptoms resolved, but the patient continues to have a lingering cough with clear sputum.  Medical history is unremarkable; she takes no medications and has no medication allergies.  Vital signs are normal.  Examination of the ears, nose, and throat shows only mild pharyngeal erythema.  Lung examination shows no crackles, dullness, or egophony.  The patient states, "Every year I get these same symptoms, and every year my doctor tells me it's bronchitis.  It goes away when she gives me azithromycin.  She doesn't take my insurance anymore, so I'm hoping you can prescribe it for me."  Which of the following is the most appropriate response to this patient's request?

• A)"Even though I won't prescribe an antibiotic, you can trust that I will put your best interests first."
• B)"I wasn't working with you in the past, but it is possible you had bronchitis or pneumonia that required antibiotics.  This episode is different."
• C)"Many doctors prescribe antibiotics for infections like this.  However, expert consensus is that antibiotics are not necessary."
• D)"The color of your sputum suggests this is just a viral infection, so an antibiotic is not indicated."
• E)"Treating a chest cold with antibiotics is typically not useful because it's caused by a virus.  Let's talk about some of the risks of antibiotics."

Prepare a balance sheet.

Calculate total assets given company accounts.

Calculate total liabilities using given financial information.

Understand the importance and methods of providing patient education.

---

Definitions:

Rhyniophyta

An extinct group of early vascular plants from the Silurian and Devonian periods.

Megafossils

Larger fossilized remains of organisms, such as bones or plant stems, that are easily visible to the naked eye and provide significant evidence of life from the past.

Dichotomously Branched

A branching pattern where each branch divides into two parts at a certain point.

Megaphylls

Leaves with a highly branched vascular system, characteristic of the majority of vascular plants, offering increased efficiency in photosynthesis.