*open and say "ahhh"*
"So, how are you feeling? Any problems, pains, etc.?"
*take a deep breath. and another. and another.*
"You're looking a little tired. Are you getting enough sleep?"
*Follow the light with your eyes*
"It looks like you've lost a little weight, too. Are you eating, have an appetite?"
*Turn your head and cough*
"Any major changes in your life? Anything you want to discuss?"
*Bend over the table and try to relax*
"Everything looks good and checks out fine. Healthy, robust 19 year-old male. We'll see you again next year."