רוּחַ

Which of the following is NOT a legitimate Hebrew use of the preposition מִן.

What is the following Hebrew vowel called (ignore the consonant), and what sound does it make? אִי

Define the word אַחֵר

A 35-year-old woman comes into the emergency room with complaints of fatigue. She states that over the last few days, she has been feeling tired and has had some occasional gum bleeding in her mouth. She also states that she has started seeing “red dots” on her legs as illustrated (see image). She denies any cough, congestion, fever, diarrhea, headaches, or changes in urine production. On her exam, she has petechiae on her lower extremities. Her vitals are within normal limits. Her CBC is significant for WBC 7,500, Hgb 12.4, Hct 37, Platelets 29,000. Her LDH level is normal and her peripheral blood smear is shown (see image). What is the first-line treatment for this patient?  

A 3-year-old previously healthy female is brought to your office by her mother. The mother reports the child has been crying and pulling at her right ear over the past 2 days, and reports the patient has been febrile the past 24 hours. The patient’s past medical history is unremarkable, although the mother reports the patient had a “common cold” a week ago which resolved without intervention. Her temperature is 101.6 deg F (38.7 deg C), blood pressure is 100/70 mmHg, pulse is 120/min, and respirations are 22/min. Otoscopic exam is performed (see image). What is the most likely diagnosis?

A 68-year-old male patient with PMH significant for HTN, stroke, vascular dementia, and atrial fibrillation, presents with a two-month history of generalized weakness and dizziness.  His symptoms began gradually, and have been progressing over the past few weeks, now affecting his ability to perform activities of daily living.  The patient reports an estimated unintentional weight loss of 20 pounds over the past two months, and his appetite has diminished.  The patient denies any fever, night sweats, headache, cough, hemoptysis, or dyspnea.  He denies abdominal pain, change in bowel habits, nausea, vomiting, or urinary symptoms.  Six weeks prior, the patient was initially evaluated in the ER and received IV fluids and electrolyte supplements for dehydration.  Physical examination reveals patchy hyperpigmentation of the elbows, knees, neck, and palmar creases.   Based on this information, which of the following conditions is the most likely diagnosis for this patient?  

BONUS QUESTION:A 52-year-old man is brought to the emergency department for progressive confusion over the past 48 hours. He is otherwise healthy and takes no medications. His temperature is 100.6°F (38.1°C), blood pressure is 138/78 mmHg, pulse is 72/min, and respirations are 18/min. Examination reveals an ill-appearing man. He is drowsy but arousable. He is oriented to person, but not to place or time, and has no focal neurological deficits. Results of initial laboratory studies include: Hemoglobin: 8.2 g/dlHematocrit: 26%Leukocyte count: 11,500/mm^3 with normal differentialPlatelet count: 30,000 Peripheral blood smear: (see image) Na+: 142 mEq/LCl-: 98 mEq/                                                        K+: 4.9 mEq/LHCO3-: 22 mEq/LUrea nitrogen: 45 mg/dlGlucose: 112 mg/dlCreatinine: 2.2 mg/dl                                                                                                                                   Which of the following is the most appropriate treatment in this patient?

Congratulations, you have just completed the final core examination for the clinical year!! ⭐⭐⭐  

A 12-year-old boy is brought in by his parents as they are concerned about his behavior. He is constantly arguing with his parents and blatantly defying their every request. In school, he is known for being intentionally tardy and for defying his teachers. Upon further questioning of the patient you learn about some of his recent behaviors such as beginning smoking to bother his parents. You also notice that he is disrespectful towards you. You then learn that he has also gotten into weekly fights with his peers at school with no apparent cause. In addition, last week he was seen hitting one of the local neighborhood cats with a baseball bat trying to kill it. The patient lives at home with his two parents in a pre-World War II house that was recently renovated. Physical exam is unremarkable. Laboratory values are as follows: Na: 140 mmol/LK: 4.5 mmol/LCl: 100 mmol/LGlucose: 80 mg/dLCa: 10 mmol/LMg: 3 mEq/LCr: 0.8 mg/dLBUN: 10 mg/dLSerum lead: < .01 µg/dLHb: 15 g/dLHct: 45%MCV: 95Urine toxicology: negative As the patient leaves the office you notice him taking all of the candy from the office candy bowl. The patient seems unconcerned about his behavior overall. Which of the following statements is most likely to be true in this patient?