Read the following scenario and answer the question that follows. (This is the same scenario as the last question.)Jane is a 21 year-old Latina from Mexico who has entered a treatment program in Detroit. She is addicted to crack cocaine and has been engaging in prostitution to get money to continue her usage.  She entered the program after being arrested for soliciting and for drug possession.One area of the NAADAC Code of Ethics states, “Addiction Professionals shall practice within the boundaries of their competence.” (Principle III: Professional Responsibility and Duty of Care)  What could be one way for this counselor to abide by this principle?

In the DSM-IV-TR, substance dependence is distinguished from substance abuse by the presence of…

The difference between Intrinsic and Extrinsic Motivation is:

What is the apparent path of the Sun in the sky against the background of stars?

What overall themes did you see present in the Native American origin stories?  What did you like and/or dislike about them?  What did you connect to?  Take a specific passage from any of the assigned Native American readings and break it down – what does it mean, how does it affect you, and what do you think about it?  Why did you pick that specific passage?

Which patient scenario is MOST appropriate for a telehealth visit?

Which of the following are symptoms? 

For Questions 1-3, please use the following case/results.  Mr. James Carter is a 67 y/o male who presents to your pulmonary clinic with a CC of increasing shortness of breath over the past 3 years.  James notes an increase in dyspnea when climbing even 1 flight of stairs and cannot exercise due to intolerance. He will wheeze sometimes at night and does have a productive cough with thick, yellow/white sputum. His PCP has prescribed albuterol for which he uses 3-4 times/week with some improvement.  VS: Height: 178 cm (70 in) Weight: 92 kg (203 lb) BMI: 29 Tobacco history:  45 pack-year smoking history; quit smoking 5 years ago Occupational history: worked construction for 30 years; retired   You and your attending order PFTs. Here are the results:  Spirometry Parameter Predicted Pre-Bronchodilator % Predicted Post-Bronchodilator % Change FVC 4.50 L 3.40 L 76% 3.55 L +4% FEV1 3.40 L 1.55 L 46% 1.72 L +11% FEV1/FVC 76% 46% — 48% — FEF25-75% 3.00 L/sec 0.70 L/sec 23% 0.88 L/sec +25% Lung Volumes Parameter Predicted Measured % Predicted TLC 6.50 L 7.60 L 117% RV 2.20 L 4.10 L 186% RV/TLC 34% 54% — Diffusion Capacity Parameter Predicted Measured % Predicted DLCO 26 mL/min/mmHg 12 46%   Question 2: Is there significant bronchodilator responsiveness? Why or why not? 

For Questions 1-3, please use the following case/results.  Mr. James Carter is a 67 y/o male who presents to your pulmonary clinic with a CC of increasing shortness of breath over the past 3 years.  James notes an increase in dyspnea when climbing even 1 flight of stairs and cannot exercise due to intolerance. He will wheeze sometimes at night and does have a productive cough with thick, yellow/white sputum. His PCP has prescribed albuterol for which he uses 3-4 times/week with some improvement.  VS: Height: 178 cm (70 in) Weight: 92 kg (203 lb) BMI: 29 Tobacco history:  45 pack-year smoking history; quit smoking 5 years ago Occupational history: worked construction for 30 years; retired   You and your attending order PFTs. Here are the results:  Spirometry Parameter Predicted Pre-Bronchodilator % Predicted Post-Bronchodilator % Change FVC 4.50 L 3.40 L 76% 3.55 L +4% FEV1 3.40 L 1.55 L 46% 1.72 L +11% FEV1/FVC 76% 46% — 48% — FEF25-75% 3.00 L/sec 0.70 L/sec 23% 0.88 L/sec +25% Lung Volumes Parameter Predicted Measured % Predicted TLC 6.50 L 7.60 L 117% RV 2.20 L 4.10 L 186% RV/TLC 34% 54% — Diffusion Capacity Parameter Predicted Measured % Predicted DLCO 26 mL/min/mmHg 12 46%     Question 3:  Why is the DLCO reduced? What disease process is most likely occurring?

Please refer to the INSTRUCTIONS FOR THE QUESTIONS THAT REQUIRE CALCULATIONS provided in the exam details above. A survey has been taken of people in a neighborhood. The breakdown of the population is as follows:Total population =[E]+[H]+[U]+[R]+[S]Number employed = [E]Housewives or househusbands = [H]Number actively looking for a job = [U]Number retired = [R]Under 16 years of age = [S]What is the unemployment rate?   Round up your answer to two (2) decimal placesYour answer SHOULD NOT include the % sign