Q1. Draw the shear force and bending moment diagrams for the following beam. Formula Reference Sheets.pdf  

Q4. Three full-size 50 x 100-mm boards are nailed together to form a beam that is subjected to a vertical shear of 1500 N. Knowing that the allowable shearing force in each nail is 400 N, determine the largest longitudinal spacing ‘s’ that can be used between each pair of nails. Formula Reference Sheets.pdf    

A patient with chronic kidney disease has the following laboratory values: Laboratory Result Serum Creatinine 2.4 mg/dL eGFR 26 mL/min/1.73m² Potassium 4.8 mEq/L Reference Values Creatinine: 0.6–1.3 mg/dL eGFR: ≥90 mL/min/1.73m² Potassium: 3.5–5.0 mEq/L What CKD stage is most consistent with these findings?

Q2. Knowing that P = 90 kips, determine the largest distance ‘a’ for which the maximum compressive stress does not exceed 18 ksi. Formula Reference Sheets.pdf  

A 71-year-old woman presents with fatigue. Laboratory studies reveal: Laboratory Result Normal Creatinine 2.0 mg/dL 0.6–1.3 eGFR 32 mL/min/1.73m² ≥90 Review of previous records shows similar values for the past two years for both creatinine and eGFR.  Which diagnosis is most likely?

A 45-year-old woman presents with intermittent nausea and vomiting for the past month. She reports that episodes typically occur after eating but cannot identify a clear pattern. She denies fever, diarrhea, dysuria, hematemesis, or melena. Vital signs are normal, and physical examination demonstrates mild epigastric tenderness without rebound or guarding. Which additional history question would MOST help narrow your differential diagnosis?

Match the stool characteristic with the most likely underlying condition.

Match the hepatitis virus with its most characteristic mode of transmission

A patient presents with abdominal pain. Which findings suggest an acute surgical abdomen requiring immediate emergency evaluation? Select all that apply.

A patient reports chronic abdominal pain associated with constipation that improves after bowel movements. She denies nocturnal diarrhea, weight loss, rectal bleeding, or anemia. Colonoscopy is normal. Which diagnosis is most likely?