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A 65 year old female, with a past medical history of alcoholism and hypothyroidism, presents to her primary care doctor with a complaint of shortness of breath.  Her chest x-ray demonstrates a large cardiac silhouette, suggesting dilated cardiomyopathy.  What comprises the largest portion of the sternocostal surface of the heart seen on x-ray?

Maria Candelaria is a period film because the story is set at the time when the film was made. (Source: Module 3 lecture video, around minute 18)

What is the protein recommendation associated with resistance training for older adults to increase muscle protein synthesis?

Provide the best answer to each question.  You will need to access the MyFitnessPal app or a similar resource that lists the carbohydrate content of foods to complete a question on this quiz.  You will have 90 minutes to complete the quiz. 

Jeff is a 175 pound man about to go on a 90-minute run.  Knowing how important post event nutrition is, recommend a post workout snack to maximize glycogen replenishment.  For each food/beverage item, list the quantity and grams of carbohydrate.

During a vaginal delivery of a 10 pound infant, an obstetrician performs an episiotomy (cut into the vaginal wall) to allow delivery of the very large infant.  During the episiotomy, he cuts too far and damages the perineal body and the structure immediately posterior to it.  What other perineal structure sustained an iatrogenic injury?

Use this audiogram to complete the following series of questions.    

Your patient has significant middle ear disease from chronic otitis media, resulting in a moderate (50 dB HL) flat conductive hearing loss bilaterally. You are measuring acoustic reflexes using a 95 dB HL activator tone. Which of the following pattern of results would you expect?

In a conductive hearing loss, bone-conduction thresholds are ________ and air-conduction thresholds are ________. (Hint: elevated means outside the range of normal/in the range of hearing loss).

Consuming a large amount of protein (above recommendations) at one meal likely leads to greater acute muscle protein synthesis compared to a more modest amount of protein.