Author: Anonymous

A 65 year old woman with a history of chronic hypertension, diabetes mellitus, and degenerative joint disease presents with acute onset of severe pain of the metatarsophalangeal (MTP) joint and swelling of the left first toe. Physical examination show exquisite tenderness of the joint, with swelling, warmth and erythema.  What is the most likely diagnosis?

Rheumatoid arthritis (RA) is different from some other forms of arthritis because…

A 28 year old woman presents to the ER with severe joint pain, fever, and decreased mobility of that joint. How would you diagnose the patient?

Using Left or Right, name the lobe that the pointer is pointing to: _______

Using Left or Right, name the lobe that is being pointed to: _______

Name the space that the pointer is located in: _______ .

Name the 4 raised bumps that the pointer is pointing to: _______

“Sylvia would have liked him vastly better without his gun; she could not understand why he killed the very birds he seemed to like so much.”  

Equipment cost is often one of a contractor’s largest expense.  To be successful, equipment owners must carefully analyze and answer two separate questions about the cost of their machines.  The first question is how much does it cost to operate the machine on a project? and the second question is?

Assume a rubber-tired tractor has a total weight of 20,000 lb on its driving wheels.  The maximum rimpull in low gear is 9,500 lb.  If the tractor is operating on dry clay, with a coefficient of traction of 0.60, what is the maximum possible rimpull prior to slippage of the wheels? (Please show all work as best as possible and type out anything that you would like to clearly articulate)