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Case Study: A 45-year-old construction worker fell from scaffolding approximately 15 feet high. He was conscious upon arrival at the emergency department but complained of severe headache and double vision. Examination revealed a hematoma around the left eye and clear fluid leaking from the nose. Based on the patient’s symptoms and visible signs, what is the most likely type of skull fracture?  

Andrew is in a car accident and fractures his maxilla. To which group of bones does this belong?  

A 42-year-old man presents to the primary care clinic today with a one-week history of high fevers, severe headaches, and muscle pain. He also reports a rash. He denies any history of travel or changes in his diet. He is current on vaccines. He lives in North Carolina and enjoys hiking outdoors. On physical exam, his temperature is 102.1, and he has a maculopapular rash on his extremities, including his hands and feet but sparing his face. He states that the rash began a few days after his fever started and has progressively gotten worse. Laboratory tests and titers are drawn to confirm the suspected disease, and antibiotics are prescribed immediately. Which of the following is the most likely etiology of this disease?  

A 55-year old obese female presents to the clinic today with severe pain in the RUQ that radiates to the the top of the right scapula. She says that she has these “episodes” often and they last about 2-3 hours, then resolve. She says it’s worse after eating a fatty meal. She denies any fever. Physical exam findings demonstrate RUQ tenderness to palpation and deep pain on inspiration while the practitioner places their fingers under the right rib cage.  Which would be the gold standard diagnostic test to order for this patient based on the history and physical findings?

The clinician working in the primary care setting has completed a history and physical exam as a part of the 4-year-old well-child check. The physical findings were normal, without any “red flag” findings or concerns.  The height, weight and BMI are stable at the 40th percentile and the child’s social and nutritional assessments are normal. The clinician reviews the child’s EMR and finds the following family history: Family history of dyslipidemia Family history of premature cardiovascular disease Lives in a single family home (built in 2017) with 2 parents and 1 sibling No daycare or school No second hand smoke or tuberculosis exposure Older sibling has a history of ADHD, and is in the 2nd grade Parents are 24 and 27 years old. No known health issues. The clinician appropriately selects the following health promotion/diagnostic screenings for this child to be performed at the well check today. (select all that apply) 

The PMHNP is conducting telehealth visits today with her patients.  The NP should do the following to ensure proper telehealth etiquette with a 12-year old female patient and her mother (select all that apply):

Label each part of the following mixture: 52.1 g of Table Salt + 47.2 g of H2O → 99.3 g of Salt Water   Salt Water: [x] H2O: [y] Table Salt: [z]  

T/F: Polar compounds will dissolve into non-polar solvents.

Find the molar mass of the caffeine, C8H10N4O2. (Answer should include 2 decimal places.)

What type of chemical reaction is this? 2 Ag(s) +S(s)→Ag2S(s)