A 45-year-old male is brought to the emergency room by his wife because he has been acting confused for the past day. He is febrile, with an oral temperature of 103.6 deg F; vital signs are otherwise stable. His physical exam is significant for the finding shown (see image below); he has never noticed lesions like these before. He also has subtle right-sided weakness affecting upper and lower extremities. Labs reveal: hemoglobin 7.0 g/dL, hematocrit 21%, white blood count of 10,200, and platelet count of 20,000. PT/INR and PTT are normal. A peripheral blood smear is shown (see image below). What is the most likely diagnosis?

In order to reduce production costs, Autoworks, an automobile manufacturer, decided to buy out a glass plant and begin manufacturing the glass for the windows of cars on its own. The corporate strategy adopted by the company is known as

“I am pleased to announce that we have acquired Fancy Fruit Juices, a premier producer of natural beverages,” said Louis Garcia, CEO of Granddad’s Root Beer. “This will allow us to take advantage of our strengths by applying them in a new business that is similar to our core business.” Louis is speaking of a(n) __________ strategy.

Bee Corp. has only a few layers of management between the CEO and entry-level employees, allowing for quicker decision-making and more employee autonomy. This describes a:

The nurse cares for a patient with the nursing diagnosis of “Impaired verbal communication: expressive aphasia related to decreased blood flow to Broca’s area.” Which action will the nurse include in the patient’s plan of care? Select all that apply.

You are asked to design a preventive intervention for Gastroenteritis, a very severe disease in Gainesville where early detection is crucial to avoid extreme medical complications and fatality as the disease progresses. The cost of screening and early treatment is much lower than the cost of treating late-stage disease. UF has developed a new version of the Gastroenteritis Screening Test called Test A. As part of the intervention, you will conduct a screening test to detect gastroenteritis among 15,600 individuals using the recently developed Test A. The disease prevalence of gastroenteritis in our study population is reported as 5.0%. Based on this information, the following is a 2×2 table depicting your study results for Test A: Test A   Gastroenteritis Present Gastroenteritis Absent Positive Test Result 585 2223 Negative Test Result 195 12597   The development team also provided you with the older original version of the test, which they labeled as Test B, as a potential alternative for your intervention. You decide to collect data on Test B to compare with the data you collected using Test A.  Based on this information, the following is a 2×2 table depicting your study results for Test B: Test B   Gastroenteritis Present Gastroenteritis Absent Positive Test Result 546 5187 Negative Test Result 234 9633   Note-If it is appropriate to report an answer value as a percentage and you would like to input your answer in percent format, you must include the % sign! Please round your answers to the nearest tenth decimal place (i.e, x.x%)    a. Calculate the sensitivity for Test A: [SensitivityA]  b. Calculate the specificity for Test A: [SpecificityA]  c. Calculate the sensitivity for Test B: [SensitivityB]  d. Calculate the specificity for Test B: [SpecificityB]  e. If we repeated this study using Test A and Test B in a new population that has a 40% prevalence of Gastroenteritis, we would see an increase in the [___] of the new population (compared to our first population with 5% prevalence of Gastroenteritis).  Choose your answer from either the PPV or NPV.  

Read the passage below about a dinner party, then complete each set of questions and answers about the dinner party providing either the appropriate question word or the appropriate short answer (NOT full sentence), as needed.    Léa invite deux amis, Janine et Marc, à dîner chez elle ce soir. Elle prépare un très bon repas (meal): une soupe, un filet de saumon et une belle salade. Pour le dessert, elle achète un fraisier (strawberry cream cake) parce que c’est l’anniversaire de Janine, et Janine adore les fraisiers! Le couple arrive chez Léa à 20 h et passe trois heures chez elle—une soirée très agréable!—et puis (then) ils rentrent à 23h.        est-ce que Léa invite à dîner? — Janine et Marc.    dînent-ils? — Chez Léa. Quand arrivent-ils? —    .    est-ce qu’ils mangent? — Une soupe, du saumon, et une salade.    est-ce que Léa achète un fraisier? — Parce que c’est l’anniversaire de Janine. Qui adore les fraisiers? —    . Comment est la soirée? —    .    heures passent-ils chez elle? — Trois heures.   You can copy and paste the special accented symbols from here: ÀÂÄÇÈÉÊËÎÏÔŒÙÛÜ àâäçèéêëîïôœùûü

  *A 16 y/o female comes to clinic with complaints of fatigue, fever, sore throat and nausea.  She states that a couple of her friends have had the same thing and were told it was a virus and they needed to stay on bed rest.  Her temp today is 102F and her throat is erythematous with tender posterior cervical lymphadenopathy.  Her liver is also slightly tender and extend 2cms below the costal margin.  Which of the following tests would help you the most with your diagnosis?

To meet criteria for diagnosis of Post Traumatic Stress Disorder (PTSD), patients must be experiencing clinically significant distress in social, occupational, or other areas of functioning and persistent symptoms for what length of time?  

Mrs. B, 55 year old African American female, comes into your office for a same day visit stating she has been short of breath this morning, fatigued for the past 2 days, has epigastric pain, diaphoretic, nauseated, awakened several times during the night with substernal chest pressure “like indigestion”. She was unable to finish vacuuming this morning. H/O HTN x 3 years, poorly controlled on current regimen of CCB and diuretic. B/P Rt. Arm 104/60 Lt. Arm 110/58 HR 58 Resp 23/min. What other data or testing would you collect first?