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Who served as a role model par excellence for the new republ…

Who served as a role model par excellence for the new republic, embodying the exceptional talent and public virtue prized under the political and social philosophy of republicanism, he did not seek to become the new king of America, instead, he retired as commander in chief of the Continental Army and returned to his Virginia estate at Mount Vernon to resume his life among the planter elite?

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What was it called when the state legislature again refused…

What was it called when the state legislature again refused to address the petitioners’ requests, Massachusetts citizens took up arms and closed courthouses across the state to prevent foreclosure (seizure of land in lieu of overdue loan payments) on farms in debt?

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Which of the following was associated with the counting of s…

Which of the following was associated with the counting of slaves in the state’s population, giving slave holding states more representatives in Congress?

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Which of the following was the United States first ruling bo…

Which of the following was the United States first ruling body of government, it lacked the power to effectively make laws, tax, or declare war, proving it was inadequate to govern the nation?

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A patient weighing 198 pounds has experienced a thermal burn…

A patient weighing 198 pounds has experienced a thermal burn. The patients total body surface area burned is the following: The whole head, whole anterior of abdomen and chest, top half of back, and both arms. Using the Parkland Formula, how much total fluid in mL will the patient be receiving in 24 hours?  [CLOZE_01]  mL (only give numerical value, round to the nearest whole number) How much total fluid in mL will the patient receive in the first 8 hours after the burn?  [CLOZE_02]  mL (only give numerical value, round to the nearest whole number) What will be the infusion rate in ml/hour will the fluid be running for the next 16 hours?  [CLOZE_03]  mL/hr(only give numerical value, round to the nearest whole number) (Write only whole numbers in the fill in the blank areas; use commas if needed) (Round to the nearest whole number)    

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The patient is reporting feeling short of breath and is very…

The patient is reporting feeling short of breath and is very anxious 15 minutes after being administered a new intravenous antibiotic medication. You can audibly hear loud wheezing coming from the patient. If you were concerned the patient is having an allegic reaction and is experiencing upper airway swelling, where would you place your stethoscope to ausculate and confirm the presence of stridor?

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A 24-year-old woman presents to her doctor complaining of ab…

A 24-year-old woman presents to her doctor complaining of abdominal pain and diarrhea. For the past 6 months she has noticed loose stools associated with diffuse abdominal pain. The diarrhea is non-bloody and not associated with any particular foods. She has had intermittent fevers during the past month and reports a 7 lb. unintentional weight loss, but denies any recent travel. She has a history of anxiety and nephrolithiasis. She is currently taking paroxetine and a combined oral contraceptive. Her temperature is 100.1°F (37.8°C), blood pressure is 110/60 mmHg, pulse is 75/min, and respirations are 14/min. Physical exam reveals a thin young woman with normal heart and lungs sounds. Her abdomen is diffusely tender to light palpation with increased bowel sounds. Multiple shallow ulcers are found on the oral mucosa, and a perianal tag is noted during rectal exam. What is most likely to be found on additional workup for this patient?

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A 24-year-old female with no significant PMH presents to the…

A 24-year-old female with no significant PMH presents to the Emergency Department for chest pain that began approximately 1 hour ago. She denies any trauma to the chest and describes the pain as a “pressure-like” sensation affecting the middle of the chest. She has no medical history and takes oral contraceptive pills. A few hours ago she attended a party where she was smoking crack cocaine and subsequently developed this chest pain. BP 176/104 mmHg, HR 108/min, and RR 18/min with pulse ox of 99% on room air. Chest auscultation is unremarkable. An electrocardiogram is obtained (see image below).  Based on these findings, what is the diagnosis for this patient?       

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A 26-year-old female with no significant PMH presents to cli…

A 26-year-old female with no significant PMH presents to clinic with 1 month of persistent pain in her left breast. She first noticed a small, firm mass in her left breast approximately 1 month ago, and since then, the mass has become tender and has slightly increased in size.  The patient has no personal or family history of breast cancer. T: 97.9°F, BP 118/74 mmHg, HR 72/min, RR 14/min, and pulse ox is 98% on room air. On exam, there is a 2.5 cm firm, mobile mass in the left breast that is mildly tender to palpation.  There is no associated nipple discharge. There are no skin changes and no lymphadenopathy is noted. Ultrasound of the mass is performed, which reveals a round, well-circumscribed fluid-filled mass.  Based on these findings, which of the following statements is correct?

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A 32-year-old male presents with a 3-day history of fever wi…

A 32-year-old male presents with a 3-day history of fever with chills and severe weakness.  There are no other complaints.  The patient has a history of unprotected sex with multiple previous partners.  He also reports a history of travel to South America and consumption of food from street vendors while working there one month ago.  He admits to intravenous drug abuse.  The patient denies a history of previous blood transfusion.  Abdominal exam reveals mild hepatomegaly.  Routine laboratory tests are ordered, including CBC, CMP, HIV, and Hepatitis serology panel.  Liver enzymes are elevated and Hepatitis C virus antibody test is positive.  Testing for Hepatitis A and Hepatitis B is negative.  How did this patient most likely acquire Hepatitis C infection?

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