This is the pain drawing for the 38yo you are seeing next. Which is your top diagnostic hypothesis?

You are evaluating a 57-year-old male with throbbing back and flank pain. He recently started a weight lifting program and has a history of hypertension and smoking. He now has difficulty finding a comfortable position to lay down. You note a pulsing mass on abdominal palpation. What should you be most suspicious of?

Your 42 yrs. old patient has local right back pain that worsens with lumbar flexion and left sidebend. Which of the following structures do you suspect as the likely source of pain?

You are examining a 39 y/o male with a 3-week history of right low back and leg pain. One of your top differential diagnoses is radiculopathy. Which descriptors would help rule in this differential diagnosis?  

You are performing a neuromuscular screening examination on a 39 y/o male and find decreased sensation on the lateral border of his foot.  Which nerve root is involved?

What best describes the following image?

The minimum attractive rate of return (MARR) is 8%. Consider the information provided in the following table:  EOY  X  Y  0  – $4,380.00  – $3,650.00  1  – $700.00  $1,200.00   2  $2,275.00   $1,200.00   3  $2,275.00   $1,200.00   4 $2,275.00   $1,200.00     What is the internal rate of return of the incremental investment? Enter the IRR using two (2) significant decimal digits, i.e., X.xx or XX.xx.

A county will invest $4,690,000 to clean up a chemical spill that occurred following a natural disaster. At the end of the 10-year planning horizon, an additional $2,390,000 will be spent on restoring the site to an environmentally acceptable condition. The investment is expected to produce net annual benefits that will decrease by 26% each year. The net annual public benefit in the 1st year is estimated at $1,750,000. The MARR is 13%. What is the B/C ratio for this project? Express the B/C ratio using two (2) significant decimal digits, i.e., X.xx or XX.xx.

An investment of $21,800 for a new condenser is being considered. The estimated salvage value of the condenser is $4,700 at the end of an estimated life of 6 years. Annual income each year for the 6 years is $8,100. Annual operating expenses are $2,400. Assume money is worth 16% compounded annually. What is the internal rate of return of this investment? Enter the IRR using two (2) significant decimal digits, i.e., X.xx or XX.xx.

A flood control project at Flat Valley dam is projected to cost $2,300,000 today, have annual maintenance costs of $56,000, and have major inspection and upkeep after each 5-year interval costing $270,000. If the interest rate is 14%/year, what is the capitalized cost?