Optional: you can show your work for Written Question 7 parts 1 through 3 below. Make sure to clearly indicate which part your work pertains to. 

A 21 year old patient presents to the ER with hypotension, dysphasia, restlessness, and urticaria. The patient’s signs and symptoms are concerning for:

When George Washington took command of the Continental army, he did not have a great deal of public confidence.

4.4 Name the charge of the neutron (1)

Which of the following indicate progression into stage IV refractory shock? SELECT ALL THAT APPLY A. Metabolic acidosis B. Warm skin C. Transaminitis D. Vasopressor requirement E. INR 1.1

A company selling eco-friendly cleaning products finds that 20% of people in a sample purchase their brand. The company invests in new advertising to promote its products in a test market.  Based on the results of a study in the test market, the company constructed a 98% confidence interval to estimate the proportion of all customers who might purchase their brand.  The resulting interval is 16% to 24%.  In the past, they had thought that they held 17% of the market share of the cleaning products business.  Is there evidence to conclude that they have gained market share?

A 43 year old patient presents to the ED with septic shock and is admitted to the ICU. According to the Surviving Sepsis Campaign, which of the following tasks should be completed within 1 hour of recognition of this condition? SELECT ALL THAT APPLY A. Blood culture collection B. Lactic acid level collection C. Administration of broad spectrum antibiotics D. Placement of a Swan Ganz catheter E. Administration of an anti-pyretic

1.8 When energy is removed and a gas changes state to a liquid (1)

A 49 year male with a history of IV drug abuse presents with septic shock and receives 1.5L IVF in the ED. On arrival to the ICU, his vital signs are the following: T 102.8F, HR 114, BP 77/52 (MAP 60), RR 24, O2 saturation 92% on 65% FiO2. An A-line and right IJ central line are placed by the ICU resident. A Flowtrac is attached to the patient’s A-line, and his hemodynamics are the following: CO 4.7, SV 97, SVR 615, and SVV 6. A bedside ultrasound shows his IVC is 35% collapsible. Based on this data, what is the appropriate intervention for his hypotension? Parameter Normal range Cardiac output 4-8L/min Stroke volume 60-130 ml/beat Systemic vascular resistance 770-1500 dynes/sec/cm-5 Stroke volume variation

If the scores on an analytics exam are normally distributed with a mean of 73 and a standard deviation of 8, what is the lowest score of the top 10% of the students taking the exam?  That is, what is the 90th percentile?