Cotton-topped tamarins are small primates with tufts of long…
Cotton-topped tamarins are small primates with tufts of long white hair on their heads. While studying these creatures, you notice that males with longer hair get more opportunities to mate and father more offspring. To test the hypothesis that having longer hair is adaptive in these males, you should ________. (Choose the best answer)
Read DetailsRefer to the image. On the left, there is a set of graphs th…
Refer to the image. On the left, there is a set of graphs that show frequencies of different alleles for two traits in a population in the first generation (different bars represent different alleles). On the right are labeled graphs representing the frequencies of those alleles for the same traits in the second generation. Which of the sets of graphs demonstrate(s) evolution of tail size but not evolution of beak size?
Read DetailsA 62-year-old woman presents with a 2-year history of knee p…
A 62-year-old woman presents with a 2-year history of knee pain; it has been getting worse. She reports the pain is bilateral, but it is worse on her left side. She describes the pain as deep and “achy”; it is located in the front and back of her knees. Her pain increases after long days on her feet, and it is somewhat relieved with over-the-counter pain relievers and rest. She denies other joint problems. The patient denies trauma to her knees. She has no known other chronic medical conditions, and she takes no regular medications. She has never had surgery. She works in food service for the local school district. On physical exam, her BMI is 42. The other vital signs are normal. Both knees exhibit crepitus and some decreased range of motion in flexion and extension. No erythema, edema, or warmth is noted in the joints. The remainder of her examination is normal.An X-ray is obtained, and it shows narrowed joint spaces and some subchondral sclerosis. Which of the following conditions is the most likely diagnosis for this patient?
Read DetailsA 42-year-old woman presents with a palpable thyroid nodule….
A 42-year-old woman presents with a palpable thyroid nodule. It is 1.5 cm in size, and it is located in the right lobe without regional lymphadenopathy. Upon questioning, she denies noticing this or any increase in the size of her thyroid. She denies hoarseness, a personal or family history of thyroid disease, and thyroid cancer. Which of the following interventions is the most accurate test to further approach diagnosis of thyroid cancer?
Read DetailsA 36-year-old female presents to her primary care physician…
A 36-year-old female presents to her primary care physician for evaluation of bilateral nipple discharge. She has observed a milky discharge coming from her nipples for the past month. She has felt fatigued lately and has experienced decreased libido. She also reports headaches that typically resolve by the middle of the day and a 5-pound weight gain this past month. Vital signs include: T: 99.5°F (37.5°C), BP 132/76 mmHg, pulse is 60/min, respirations are 15/min, and oxygen saturation is 98% on room air. On physical exam, auscultation of the heart and lungs is within normal limits. A neurological exam reveals cranial nerves II-XII as grossly intact. Which of the following conditions is the most likely diagnosis?
Read DetailsA 34-year-old male with Type I diabetes, presents for an acu…
A 34-year-old male with Type I diabetes, presents for an acute office visit complaining of uncontrolled blood sugars, with high and low readings throughout the day and night. When he called to make the appointment, he was advised to bring in his blood glucose log, and to check a few 3:00AM blood sugar levels. His current daily insulin regimen is 40 units NPH insulin and 20 units of Regular insulin before breakfast, and 20 units of NPH insulin and 10 units of Regular insulin before dinner. Time 7am 11 am 5 pm 11 pm 3 am Average blood glucose mg/dL 393 210 175 140 50 Which of the following insulin adjustments is most appropriate, based on the patient’s average glucose readings?
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