The examiner notes that a patient's tonsils are enlarged and that they are nearly touching the uvula. this is documented as:

Base on the given illustration, the documentation that should be provided of the examiner after having to discover that his or her tonsils are enlarged and they would touch the uvula is at 4+, it is because providing 4+ in the documentation results that the patient’s tonsils are extended in which is seen in the scenario above.

answer; role- taking;