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A 3-month-old infant presents with tachypnea, poor weight gain and difficulty feeding. On auscultation, a harsh holosystolic murmur is heard at the lower left sternal border. What is the most likely diagnosis?

A 68-year-old female presents to the clinic with fever (100.5°F), chills, a productive cough, and fatigue for the past three days. She denies confusion, nausea, or vomiting. She has been able to eat and drink normally. Her medical history includes hypertension (HTN) and hyperlipidemia (HLD). She is otherwise well and able to ambulate independently.Her vital signs are:• Blood Pressure: 118/72 mmHg• Heart Rate: 88 bpm• Respiratory Rate: 22 breaths per minute• Temperature: 100.5°F• Oxygen Saturation: 95% on room airLaboratory Findings:• White Blood Cell Count (WBC): 12,500/mm³• Blood Urea Nitrogen (BUN): 18 mg/dLBased on the CURB-65 criteria and the above information, which of the following factors contributes to the patient’s score?

A nurse practitioner is initiating HMG-CoA reductase inhibitor (statin) therapy for a 45-year-old patient with hyperlipidemia. Which prescribing consideration is most important when managing patients on statins?

A 36-year-old woman presents with dysuria, urinary urgency, and suprapubic discomfort for the past 3 days. She denies fever, flank pain, or vaginal discharge. No history of recurrent UTIs or recent antibiotic use. The nurse practitioner notes mild suprapubic tenderness but no costovertebral angle tenderness. The POC UA resulted in positive leukocyte esterase and nitrites, with moderate bacteria. Urine culture results were:• Escherichia coli: 100,000 CFU/mL• Staphylococcus epidermidis: 1,000 CFU/mLWhat is the most accurate interpretation of the urine culture results?

Of the books in a personal library, are fiction. Of these books, are paperback. What fraction of the books in the library are fiction and paperbacks?

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Find the LCM of the set of algebraic expressions: 6×2, 8xy, 18y

In a class of 90 students, 78 received a grade of A. What fraction of the class did not receive an A?

From the transtemporal window at a depth of 55–75 mm the Doppler signal has the following flow velocity pulse wave images in reference to the zero line of reference. Based on the information given, what is represented by the image? 

Based on the  flow pattern in the diagram, where would you suspect a blockage to occur? (specify laterality)