A very distraught 20yo female comes to your office stating t…

A very distraught 20yo female comes to your office stating that she has this rash and her boyfriend thinks she may have cheated on him and given him an “STI or some disease”. She said that she has been itching “down there” for a while and thought she must have another yeast infection. She was having intercourse last night and it was painful so she asked her boyfriend to look at her external genitalia and he told her that “something is wrong down there”. When you examine her, you note that the vulvar tissue is thin and white in color and that the discoloration is in a butterfly pattern. There is no discharge or odor noted. Your presumptive diagnosis is:

Megan is a 27 year old woman living in Tampa with her boyfri…

Megan is a 27 year old woman living in Tampa with her boyfriend. They have been in a relationship for 2 years and are mutually monogamous. She is going to her healthcare provider to find an alternative form of birth control other than the pill since she is tired of remembering to take it every day. She has decided she does not wish to have children for at least another 5 years. Please list a type of contraception that Megan’s healthcare provider should recommend and why this is appropriate.  Your answer must be in your own words.  Do not use outside sources to answer this question. (3 points)

Information for questions 27-30 (12 points) The diagram belo…

Information for questions 27-30 (12 points) The diagram below is of the active site of lactate dehydrogenase. This enzyme reduces the ketone in pyruvate (2-oxo-propanoate) to an alcohol in lactate. Pyruvate is shown bound to the active site of the enzyme.    Image Description Lactate dehydrogenase interaction diagram showing the enzyme binding to pyruvate and NADH. The image details amino acid residues such as Arg109, Gln102, Thr246, His195, Arg171, and Asp168, involved in the binding process. Pyruvate is positioned centrally, with NADH on the right. Key interactions are depicted, illustrating the molecular structure and connections within the enzyme’s active site.