A patient presents with microcytic anemia and impaired immune function. Which trace element deficiency is most likely?

See the previous question.  Will Veronica be able to verify that Sigmund created the message?  Will Reese be able to verify that Sigmund created the message?  Explain your answers. 

**Don, a 75 yr old male with COPD presents for treatment of his COPD.  He is in Group B.  Which of the following should pertain to the management of Don’s COPD?

A patient is taking drug A and drug B. The primary care NP notes increased effects of drug B. The NP should suspect that in this case drug A is a cytochrome P450 (CYP450) enzyme     

Keith who has a previous history of renal stones will begin taking probenecid for gout. The primary care NP should ask the patient 

*Janie is a 22 y/o female who had unprotected sex and is concerned about pregnancy.  Which of the following statements/questions are important when prescribing Janie emergency contraception? 

Jeffery is being seen by a primary care NP to evaluate a rash. The NP notes three ring-shaped lesions with elevated, erythematous borders and two smaller, scaly patches on the patient’s abdomen. The patient has not used any over-the-counter medications on the rash. The NP should prescribe:  

Pedestrian Pascal sued Dawn, the driver of a car that hit him, alleging that Dawn ran a stop sign. Dawn denies this, maintaining that Pascal carelessly darted into the street. At trial, Pascal calls his wife to testify for him. Pascal’s wife offers testimony that Pascal invariably looks both ways before crossing a street. Dawn objects to the admission of this evidence.How should the court rule on Dawn’s objection?

The object of this question is to push you to think. You must use the information we’ve covered in this course to synthesize the answer. Make sure that you touch on each of the five points that are outlined in the question. Glucagon-like peptide-1 (GLP-1) is a naturally occurring hormone that is known to suppress glucagon release.  A recent new wave of “wonder drugs” that are GLP-1 agonists are being prescribed to treat obesity, among other things. Examples of these drugs include Ozempic, Wegovy, or Zepbound. It is quickly becoming one of the highest selling treatments on the market, even though it is still unclear if there will be any long term side effects. Most don’t even fully understand how it works even though it is being touted as a silver bullet. Lucky for you, you took this Physiology course. Using what you learned about the endocrine system, speculate how you believe this drug works relative to the endocrine system. (1) What is an agonist and what do you think is the action of this drug? (2) What organ and what cells normally release the hormone that this drug suppresses? (3) Even though naturally occurring GLP-1 suppresses one hormone from this organ, it also known to stimulate the release of another very important antagonist hormone from the same organ. What is the hormone, what cells release it and what does it do? (4) Since you know two of the basic functions of the drug and their targeted endocrine pathways, how would the drug impact these two defined endocrine pathways and the other physiological systems we’ve discussed? (5) What benefit would you speculate the drug would have for patients with Diabetes Mellitus?

Debbie has migraine headaches. She takes sumatriptan as abortive therapy. Debbie tells the primary care nurse practitioner (NP) that the sumatriptan is effective for stopping symptoms but that the episodes are occurring more than 2 times per week. The NP could consider the addition of which medication as a preventative