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The attached graphs show the responses to a prolonged exercise trial. The blue line the untrained sedentary female. The pink line is the same female after 1 year of endurance training.  1) Describe how carbohydrate metabolism changed after 1 year period of endurance training? Use the graph and your knowledge of physiology to justify your answer. (2pts) 2) Describe how fat metabolism changed after 1 year period of endurance training?  Use the graph and your knowledge of physiology to justify your answer.(2pts) Metabolic Adaptations Worksheet Graphs-1.pdf

A 35-year-old woman has sudden painful loss of vision in her right eye. She comes to your office the next day, and a neuro-ophthalmologic examination documents 20/60 vision in the right eye, with a depressed monocular visual field. In the left eye, vision is 20/20 and the visual field is normal. Funduscopic examination shows optic disc swelling and an afferent pupillary defect of the right eye; the left eye is normal. Which of the following is the most likely diagnosis?

YOU ARE ALMOST DONE WITH YOUR EXAM. In order to complete your assignment, you must: 1. Your first page of your work/technique submission must include your first and last name as well as your photo ID placed on the top right hand corner of your paper to be valid. [photo] 2. Use your phone and the FastScanner app to take pics of the full page of work and save as a pdf. [pdf] 3. Upload your document within 15 minutes in the Exam #2 Uniform & Normal Distributions, Estimates and Sample Sizes Work/Technique Submission directly after this exam. [valid]

Go to PC1 click on Desktop then click on “Telnet/SSH client” For the hostname/ip address enter: 172.16.13.1 For username enter: it341-user When prompted for password enter: cisco Once you have logged in successfully, take a screenshot of the message displayed and attach it. Close the SSH session

Configure OSPF as follows: (2.5 points)  Use the “router ospf 100” command to configure OSPF process id 100 Use the “router-id” command to configure: R1 router-id 1.1.1.1 R2 router-id 2.2.2.2 On R1, use the “network” command to advertise the networks configured on interfaces GigabitEthernet0/0/0 interface should be in area 0 (5 points) On R1, use the “default-information originate” to advertise the default router configure earlier to R2 (2.5 points) On R2, user the “network” command to advertise the networks configured on interfaces GigabitEthernet0/0/1 and GigabitEthernet0/0/2  interfaces should be in area 0 (5 points) On R2 , use the “passive-interface” command to prevent OSPF from forming an adjacency on interface GigabitEthernet0/0/1 and GigabitEthernet0/0/2  (2.5 points) On R1, verify that OSPF is running on the router. What command did you use? Please attach a screenshot of your command along with its output. (2.5 points)

Configure SSH on R1 and use the following parameters (5 points)  Use the “ip domain-name gmu.edu” command to configure gmu.edu domain-name on the switch Use the “crypto key generate rsa” command to generate the crypto keys, use 1024 bits for the RSA key generation For line vty 0 4 use the “transport input ssh” command, to enable SSH on the virtual terminal interfaces (5 points) Use the “login local” command to enable local login under line vty 0 4 (5 points) Once you have completed the above task, please type “completed” in the text box below and proceed to the next section.

The nurse is prioritizing hypotheses related to a patient’s primary areas of concern. Which nursing statement reflects the outcome of this process?

A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the “meet the candidate” session at the town hall meeting. This is an important time for the nurse to implement what action?

Dennis is a 58-year-old man you follow in your practice with hypertension and hyperlipidemia.  His BMI is 40, his last fasting blood sugar was 111, and he meets criteria for metabolic syndrome.  You have recommended that he start on a statin but he is not sure he wants to do so as “Everybody says it’s causing diabetes.  I’ve got enough problems without taking a medicine that’s going to make me have more problems”.  You have been following him for at least 3 years and he has yet to lose any weight or change dietary practices.  What is your best response?

Mark is a 53-year-old who presents to clinic today for follow up of his hypertension.  He has been on Lisinopril HCT 20/25 for many years and is tolerating well without complaint.  He denies chest pain, shortness of breath, palpitations, dizziness.  He has been on this combination for at least 10 years and his BP today is 120/70.  According to the 2017 ACC/AHA Guidelines, what would the best plan of care?