A 72 yo man arrives the UF Family Medicine Clinic for his quarterly checkup. He is over weight (BMI = 31) and his diet largely consists of processed foods. He takes Captopril for hypertension (BP= 180/140, without meds) and Metformin for diabetes (A1C = 9.3% without meds). He tells you that since his last visit three months prior, he has quit smoking. He states that the urge to return to smoking is strong, as he smoked 1-2 packs of cigarettes per day, for 23 years. Respiratory rate is 29 bpm. Breathing room air, his lab data are as follows; pH = 7.47, PaCO2 = 24 mm Hg, PaO2 = 58 mm Hg, HCO3- = 17 mEq/L, and SpO2 = 88%. Which of the following most accurately describes the clinical status of this patient?

  3.3. Many still had meat attached to them when they were discarded, suggesting that there was more than enough 3. land/food to go around (1)

5.1.  Write a short paragraph explaining why the monastery at Lindisfarne was so easy to attack. (2)  

4.2.  excavated (1)   [answ1]

4.5. monuments (1)   [answ1]

In a patient with suspected community acquired acute pneumonia, why is it important to collect a sputum sample before administering antibiotics?

2.2 In a sentence describe what kind of houses British people lived in before the Romans invaded England (1)

7.4. The Spanish King Philip wanted to make England Catholic again. (1)

  3. Choose the correct word to complete the sentence. (5) Click on the blue button to open the image       Around 2500 1. A.D./B.C, the people who built and used Stonehenge probably lived at Durrington Walls, a large settlement about 2 miles away. Over 38,000 discarded animal 2. bones/food have been found there – probably representing at least 1,000 animals. Analysis of these bones can tell us a great deal about where the food came from, and how people prepared their meals. Of the bones and teeth excavated at the site, 90% were from pigs, and the rest mostly from cattle. Many still had meat attached to them when they were discarded, suggesting that there was more than enough 3. food/land to go around. Some of the bones have cut marks made by flint tools, showing that beef was cut up into pieces. Burnt foot bones suggest that pigs were often roasted over open fires. This was not regular, everyday consumption. Many of the pigs had been killed at about nine months old. Since the piglets were most probably born in the spring, they were, therefore, all being slaughtered at midwinter. This suggests that people were gathering for 4. work/feasts at this time of year. Both Stonehenge and some of the timber monuments at Durrington Walls were built to align with the midwinter and midsummer 5. moon/sun movements.                                                                                     

With respect to the alveolar airways, which statement is FALSE?