A 68-year-old male with a history of diabetes and hypertension presents to the emergency department with complaints of worsening fatigue, fever, and a new rash on his legs and torso. On examination, he is febrile (101°F), tachycardic, and has patches of purpura and ecchymosis scattered over his lower legs, as well as areas of pale, cool skin. His blood pressure is 90/60 mmHg. Which of the following physical exam finding is the most concerning in this patient?

A 28-year-old female presents with a pruritic rash on her forearms that began as small red papules, which then developed into vesicles. The rash is distributed in a linear pattern along her forearms. She denies any new medications but mentions handling poison ivy last week. What is the most likely diagnosis?

Epidemiology Extra Credit Question (5 points possible)  Answer the Epidemiology questions based on the scenario below:  A small rural village is experiencing a disease outbreak. 32 people have become ill over the past week and are experiencing watery diarrhea, vomiting and dehydration. You investigate the area and find that they have been disposing of human waste upstream of their village. You collect a water sample and find high numbers of Vibrio cholera bacteria in the sample.     What is the incidence of the disease over the past week? (1 pt) What is the host? (1 pt) What is the etiologic agent? (1 pt) What would you do to prevent the spread of this disease and prevent another outbreak in the future? (2 pts) 

A 4-year-old child presents to the clinic with a history of pruritic, erythematous patches on the flexural surfaces of the elbows and knees that have been present for several weeks. The child also has a history of seasonal allergies and asthma. On examination, the skin appears dry, with lichenification and occasional excoriations. The child has no signs of systemic illness. Based on these findings, what is the most likely diagnosis?

A 55-year-old female presents with acute shortness of breath and a productive cough with green sputum. She reports feeling chills and has a fever of 101°F (38.3°C). On examination, you note rales (crackles) on auscultation, tachypnea, and increased tactile fremitus. What is the most likely diagnosis?

A 50-year-old female with a history of seasonal allergies presents to the clinic with a 2-week history of persistent cough, occasional wheezing, and clear sputum production. She denies fever, chest pain, or shortness of breath at rest. On physical examination, her vital signs are stable, and she appears otherwise well. On inspection you notice her breathing is shallow and tachypneic.  Lung auscultation reveals expiratory wheezing and prolonged occasional crackles throughout both lung fields. which clear slightly with coughing. Percussion is resonance, and there is no egophony or tactile fremitus. Based on these findings, which of the following is the most likely diagnosis?

A/C pressure control ventilation can be defined as [word1] and [word2] triggered, [word3] limited, and [word4] cycled. 

Many modern processors have multiple cores that share L1 Cache?

A/C volume control ventilation can be defined as [word1] and [word2] triggered, [word3] limited, and [word4] cycled. 

A 5′ 6″ female patient was admitted for exacerbation of her reactive airway disease. When the practitioner arrived to assess her and was found to be obtunded with slow shallow respirations. The following arterial blood gas was obtained on a 5L NC:   pH – 7.22 PaCO2 – 68 torr PaO2 – 78 torr HCO3 – 25 mEq/L BE – +1   The physician decided to intubate. What initial vent settings should the patient be placed on?