Vinartmodel

A square has how many sides? - 4 How much is 2 plus 2? - 4 A rose is a what? - A flower What is the best explanation of how a smooth round stone became smooth? - It was in a stream for a long time If you place bean seeds between moist paper towels and watch the stem leaves appear you will see a demonstration of? - germination Any astronomical body that revolves around a larger body is called? - satellite In chemistry, to be classified as an organic substance, a substance must c...

What does ADA stand for and what year was it passed? - Americans with Disabilities Act in 1990 What are the 3 levels of the NIC - Certified, Advanced, and Mastered CI - Certificate of Interpretation CT - Certificate of Transliteration OTC - Oral Transliteration Certificate SC: L - Specialist Certificate: Legal CLIP-R - Conditional Legal Interpreting Permit-Relay MCSC - Master Comprehensive Skills Certificate CSC - Comprehensive Skills Certificate OIC - Oral Interpretin...

What does ADA stand for and what year was it passed? - Americans with Disabilities Act in 1990 What are the 3 levels of the NIC - Certified, Advanced, and Mastered CI - Certificate of Interpretation CT - Certificate of Transliteration OTC - Oral Transliteration Certificate SC: L - Specialist Certificate: Legal CLIP-R - Conditional Legal Interpreting Permit-Relay MCSC - Master Comprehensive Skills Certificate CSC - Comprehensive Skills Certificate OIC - Oral Interpretin...

Representations and Warranties - Representations are statements the applicant makes on an application that are deemed to be true to the applicant's best knowledge. Warranties are statements the insurer makes in the contract. Underwriting vs. Actuarial Departments - Two related insurance company functions. Through the process of _________, applications are assessed for insurability and to assign premium rates. The ________ department analyzes data to help estimate future losses and to produce...

The initial assessment with a new client reveals that her waist circumference is 35 inches and her hip circumference is 34 inches. Which of the following statements about these measurements is MOST accurate? - She is at risk for health problems due to excess abdominal fat. During the initial interview, a new client claims, "I want to lose 15 lb. (6.8 kg) in the next month for my high school reunion." Which of the following responses would be MOST appropriate? - Acknowledge her enthusiasm an...

Sabouraud's agar - Fungi Fungal spores - Most fungal spores are asexual. Both coccidioidomycosis and histoplasmosis are transmitted by inhalation of asexual spores. Conidia = asexual fungal spores (e.g., blastoconidia, athroconidia) Histoplasmosis - Dimorphic fungi that can cause systemic mycosis, endemic to Mississippi and Ohio river valleys. Causes pneumonia. In bird or bat droppings. Intracellular (tiny yeast inside macrophages [below]): <img src="158a - Histoplasmosis.JPG" /> ...

what is the best initial thing to do in a patient with a hyperosmolar hyperglycemic state - aggressive volume resuscitation - they are generally severely volume depleted then IV insulin *avoid management of hyperkalemia because these guys usually have a total body potassium deficit what can occur in patients with poorly controlled diabetes - hyperosmolar hyperglycemic state (HHS) or DKA describe Hyperosmolar hyperglycemic state (HHS) - -likely in DM T2 -negative serum ketones (which...

what is the best initial thing to do in a patient with a hyperosmolar hyperglycemic state - aggressive volume resuscitation - they are generally severely volume depleted then IV insulin *avoid management of hyperkalemia because these guys usually have a total body potassium deficit what can occur in patients with poorly controlled diabetes - hyperosmolar hyperglycemic state (HHS) or DKA describe Hyperosmolar hyperglycemic state (HHS) - -likely in DM T2 -negative serum ketones (which...

Fetal hydantoin syndrome - D/t use of phenytoin or other anti-epileptic (*valproic acid, carbamazepine*), which can cross the placenta, generating *low folate* and high oxidative metabolites. Results in *cleft lip and palate, wide anterior fontanelle, distal phalange hypoplasia, cardiac anomalies, neural tube defects, microcephaly*, causing developmental delay and poor cognitive outcomes. Of these risks, *neural tube defects* is the *greatest*. Fetal alcohol syndrome - Can present w/ mi...

65 yo F has a 3 month hx of *increasing low back pain*. Had low back pain for past 3 yrs that's been treated w/NSAIDs and codeine. Now rated as 7/10 in severity. Pain radiates to both legs, worsens when walking or standing & Relieved when sitting. 1 YEAR AGO: X ray lumbosacral spine: mild osteoarthritis. Exam: 4/5 mm strength LE, hyporeflexia of knees&ankles b/, unsteady gait b/c of pain. No other abnormalities. Most appropriate diagnostic study of lumbosacral spine to order at this time? - *MR...

Abdominal pain, ascites, hepatomegaly, (also high D dimer, CHF without JVD) - Budd-Chiari syndrome Achilles tendon xanthoma - Familial hypercholesterolemia Adrenal hemorrhage, hypotension, DIC - Waterhouse-Friderichsen syndrome (meningococcemia) Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints - Marfan's (fibrillin defect) Athlete with polycythemia - Erythropoietin injection Back pain, fever, night sweats, weight loss - Pott's (TB to the vertebrae) Bi...

ARDS - Damage to the endothelial cells lining the pulmonary capillaries adjacent to the alveoli due to inflammatory cytokines and neutrophils (DAD) --> Proliferation of type II pneumocytes --> Final fibrotic phase Defined as acute lung dysfxn, pulmonary edema, normal left atrial pressure, and a PaO2/FiO2 of <200 Caused by Trauma, pulmonary contusions, infection/sepsis, and fat embolism Analgesic abuse nephropathy - Characterized by marked thickening of the vasa recta capillaries an...

A 25-year-old man comes to the physician because of persistent, high-pitched ringing noises in his ears. He has also been losing his balance lately. A CT scan of the head shows bilateral tumors involving the vestibulocochlear nerve. Which of the following chromosomes contains the tumor suppressor gene most likely to be involved in this case? 3p 5q 13q 17q 22q - E)22q The patient has bilateral acoustic neuromas, probably due to neurofibromatosis type 2, an autosomal dominant inheri...

Night incontinence without urge = - overflow incontinence (T2DM) Alcoholic cirrhosis AST/ALT, ALkPhos, GGT, bili, PT, albumin - AST/ALT 2:1 (not >500) AlkPhos mildly elevated GGT very elevated bilirubin elevated (conjugated > unconjugated) +/- bandemia, thrombocytopenia increased PT decreased albumin Who gets pneumococcal vaccine? - >65 immune compromised (cirrhosis) HTN emergency medication - nitroprusside hyphema - blood in anterior eye hypopyon - inflammatory ce...

3 yo M has a 8 day hx of 3-4 daily episodes of soft, *foul-smelling diarrhea*. Increased belching & Flatus, decreased appetite but drinks liquids without difficulty. 6 yr old sister has same sx. Fam went on cruise to Mexico last month so he tried new foods and went swimming at beach&in cruise ship pool. Went on wkd camping trip 3 wks ago and ate the fresh fish. After vacation, he went back to reg diet fruits, veggies 7 meats. P 108, hyperactive bowel sounds. negative stool occult blood. CAUSE of...

Decreased perfusion of what structure is responsible for renin release in HTN? - Afferent Arteriole, JG cells located in Afferent Arteriole respond to decreased BP because HTN causes renal stenosis and loss of flow. Name that Bug, What it causes, Where you get it: Gram + Beta Hemolytic Catalase Positive - Listeria Monocytogenes, Meningitis, Unpasteurized Milk (Adults) In a Male X-Ray you see pelvic bone cancer. What is a physical exam technique to reach a dx? - Digital Rectal Exam, Pros...

Skin rash and itching worse at night, mostly between fingers. Treatment? - topical permethrin for scabies 41yo M with fever, dysuria, pyuria and bacteruria. Next step in management? - perform DRE - must distinguish between UTI and prostatitis - prostatic warmth, tenderness, edema, boggyness suggests prostatitis 3yo girl, mother is not sure when she ingested coin. Next step? - flexible endoscopy - if ingestion time <24hrs and asx, observation and repeat xrays in 12-24hrs to ensure coi...

Wide pulse pressure and bounding peripheral pulses - PDA Echo findings in dilated cardiomyopathy - Diffuse hypokalemia and dilation of the ventricles Causes of dilated cardiomyopathy - Viral illness, alcohol, ischemia Tx for life threatening hyperkalemia - Calcium chloride or calcium gluconate X-ray finding doe ankylosing spondylitis - Narrowing or sclerosis of the SI joints Cause of amenorrhea is bleeding occurs after progesterone challenge - Anovulation Treatment for SIADH - ...

A 25-year-old woman has a 3-day history of vomiting and diarrhea. She has postural hypotension and poor tissue turgor. Her serum sodium concentration is 130 mEq/L. Which of the following findings is most likely? - Increased serum ADH (vasopressin) concentration A 52-year-old woman 2-day history of fever and left flank pain. She has been treated for multiple episodes of pyelonephritis. Physical examination shows left flank tenderness. Urinalysis shows WBCwith features of macropha...

12079. Characteristics of a galactocele? - May occur weeks to months after cessation of breastfeeding and is due to ductal blockage with resulting milk accumulation. Exam shows a soft, mobile, nontender mass. Dx is made by US and needle aspiration (also curative). 12289. What might occur by treating pts with right sided HF (possibly due to COPD) with IV furosemide? - This will improve symptoms. However, you will get depletion of intravascular volume from diuresis. This can lead to AKI (BUN/Cr...