A 72-year-old man presents with decreased hearing and a sense of fullness in the left ear. Otoscopy reveals a fully occluded canal with dry cerumen. He denies pain or drainage. Which management is preferred? 

Which of the following is least likely a red flag requiring further evaluation in a patient with nausea/vomiting of pregnancy?

A 20-year-old used cotton swabs to clean her ears and now has sudden pain and hearing loss. TM shows a small central perforation. What is appropriate management? 

A 26-year-old presents with clusters of painful vesicles on an erythematous base around the lips and vermilion border. She has a history of recurrent “cold sores,” especially during stress. Which management is appropriate?

An adult with chronic OM presents with postauricular swelling, fever, and protruding auricle. What complication is suspected?

A 17-year-old presents with a sore throat, fever, fatigue, and diffuse posterior cervical lymphadenopathy. Rapid strep in negative. Tonsils are enlarged with exudates, and spleen tip is palpable. What is the most likely diagnosis?

A patient presents with severe eye pain, photophobia, decreased vision, and a mild-dilated fixed pupil. Which is the best step?

A 25-year-old man presents with intensely itchy papules between the fingers that worsen at night. He recently stayed in a crowded hostel. Burrows are noted on exam. What is the recommended treatment?

Which pharmacologic agent may be used for pain relief and inflammation control in epididymitis associated with bacterial infection?

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