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A 3 year old child presents with a first afebrile tonic seizure. On examination he is sleeping but arousable.He has increased tone on both the upper limbs and lower limbs associated with abnormal movements. His reflexes are increased and her mother reports that he was admitted during the neonatal period with jaundice.  Which part of the brain is most likely affected?

COMPLETE THE FOLLOWING BEFORE STARTING THE EXAM.   Launch the exam in Examplify (the application, not the website). Download the exam in Examplify. Enter the Examplify Code: Labor123 In case of a computer shutdown or an interruption in service, the universal resume code for this exam is 73YNML.  Did you do all of these?  

Resources for Your Analysis Gilman’s Experience With the Rest Cure In “Why I Wrote The Yellow Wallpaper,” published in 1913, Gilman recalled treatment by a specialist in 1887. She described advice to live a domestic life, limit intellectual activity to two hours a day, and stop writing or making art. She reported that her condition worsened while following this advice and that returning to work helped her recover some strength. Gilman also said she had not experienced the story’s hallucinations or objections to wallpaper. Her later account provides evidence about her experience; the story also contains invention. Source: Charlotte Perkins Gilman’s 1913 account An Early Reader’s Response The story appeared in The New England Magazine in 1892. A response printed that year in the Boston Evening Transcript, signed “M. D.,” described it as sensational and disturbing and questioned whether such a story should appear in print. This is evidence of one early response, not the opinion of all readers in 1892. For comparison, consider a reader today who approaches the story with an expectation that patients should have a voice in their treatment; this is a possible reading position, not a claim about everyone today. Source: National Library of Medicine historical exhibit The Narrator’s Private Account Original-language selection from the opening of The Yellow Wallpaper by Charlotte Perkins Gilman. Read the wording closely; these consecutive paragraphs preserve Gilman’s language. Use this selection for your voice analysis even if you read a supported adaptation. John laughs at me, of course, but one expects that in marriage. John is practical in the extreme. He has no patience with faith, an intense horror of superstition, and he scoffs openly at any talk of things not to be felt and seen and put down in figures. John is a physician, and perhaps—(I would not say it to a living soul, of course, but this is dead paper and a great relief to my mind)—perhaps that is one reason I do not get well faster. You see, he does not believe I am sick! And what can one do? If a physician of high standing, and one’s own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression—a slight hysterical tendency—what is one to do? My brother is also a physician, and also of high standing, and he says the same thing. So I take phosphates or phosphites—whichever it is, and tonics, and journeys, and air, and exercise, and am absolutely forbidden to “work” until I am well again. Personally, I disagree with their ideas. Personally, I believe that congenial work, with excitement and change, would do me good. But what is one to do? I did write for a while in spite of them; but it does exhaust me a good deal—having to be so sly about it, or else meet with heavy opposition. I sometimes fancy that in my condition if I had less opposition and more society and stimulus—but John says the very worst thing I can do is to think about my condition, and I confess it always makes me feel bad. Text source: Project Gutenberg public-domain edition

Plot Graphic Organizer Complete the organizer using the Answer Bank. Use each selected answer once. Two choices will not be used. Spelling and capitalization do not count unless meaning is unclear. Answer Bank accepts the offer of peace a falling beech tree pins the men wolves Georg’s men arrive first a disputed border forest offers Georg wine figures approaching through the woods threaten each other with death shout for help together a wind-scoured winter night Ulrich shoots Georg offers to end the feud   Plot Component Organizer With The Interlopers Exposition The story opens on [awindscouredwinternight] in [adisputedborderforest]. Rising Action After [afallingbeechtreepinsthemen], the men [threateneachotherwithdeath]. Ulrich later [offersgeorgwine]. Climax Ulrich [offerstoendthefeud], and Georg [acceptstheofferofpeace]. Falling Action They [shoutforhelptogether] and see [figuresapproachingthroughthewoods]. Resolution The approaching figures are [wolves]. Immediate feedback: Match each event to the function of its plot stage. The climax changes the central conflict; the resolution reveals the outcome.

The Loisels dismiss their servant, move to a cheaper home, work long hours, and spend ten years paying their debts. What do these supporting details help the reader understand? Immediate feedback: The years of poverty and difficult work show how severely the decision to replace the necklace affects the Loisels’ lives.

Main Idea and Supporting Evidence — 2–3 sentences Choose one main idea developed in “The Necklace.” Identify two details from the story that support that main idea. Explain how the details belong together. Sentence frame: One main idea in “The Necklace” is ___. The details ___ and ___ both support this idea because ___. Immediate feedback: A main idea is a complete statement about what the story develops. Choose two accurate details that support the same idea. Explain their connection; listing two events alone does not show why they belong together. Points Rubric 1.00 Identifies an accurate main idea, provides two relevant supporting details, and clearly explains how both details work together to support the main idea. Stays within 2–3 sentences. 0.75 Identifies an accurate main idea and two relevant details, but the explanation of how the details work together is brief, general, or underdeveloped. 0.50 Shows partial understanding. Identifies a reasonable main idea but uses only one strong supporting detail, or provides two details with little explanation of their relationship to the main idea. 0.25 Makes a limited relevant attempt but does not clearly connect appropriate supporting details to a main idea. 0.00 Blank, copied without analysis, or unrelated.

Change the Pressure If the night had been calm, explain two ways the plot would change. Address a decision and a later event in 3–4 sentences. Sentence frame: If the night had been calm, ___ would not have happened. The character might ___. As a result, ___. Immediate feedback: Trace two logically connected consequences from the changed condition.  

Which pair of details BEST supports the main idea that Mathilde’s desires and choices eventually create serious consequences for the Loisels? Immediate feedback: Borrowing the necklace begins a chain of choices that eventually leads the Loisels to borrow an enormous amount of money and face serious consequences.

Mathilde says she would feel humiliated if she looked poor beside wealthy women. Which main idea does this detail MOST directly support? Immediate feedback: Mathilde’s fear of appearing poor shows that her dissatisfaction is tied not only to owning expensive things but also to how wealthy people see her.

What is HDFS ?