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You are called to assess a term infant in the nursery within the first hour of life. The nurse reports the infant is cyanotic at rest but pinks up when crying. What is the most likely cause of the cyanosis?

You are treating an infant for sepsis and just received the blood culture and sensitivity results. A key factor in your selection of antibiotic is a minimum inhibitory concentration (MIC) which represents what concentration of the drug which prevents visible in-vitro growth of a pathogen?

You have been asked to evaluate a newborn just born in labor and delivery delivered to a mother with no prenatal care and unable to provide history.  Your physical exam reveals a microcephalic infant with redundant nuchal skin, unilateral cleft palate, malformed ears, and scalp cutis aplasia in this male infant. The most likely diagnosis is

An associated finding in an infant with a fractured clavicle would be

A term infant was admitted to the NICU with tachypnea, a cleft palate, a pansystolic, left lower sternal border murmur, and hypocalcemia.  An echocardiogram was completed which demonstrated findings consistent with truncus arteriosus.  As the NNP caring for this infant you would also have a high degree of suspicion for which of the following?

An elderly female patient had been admitted for a hip replacement. The patient seemed to be recovering well until she developed redness, increased swelling, and purulent discharge at the surgical site. The wound was cultured and results from microbiological testing revealed that the infection was caused by Staphylococcus aureus. The patient successfully completed the course of antibiotic therapy, and within a few days, all signs of infection had subsided. The patient was progressing well with physiotherapy, and was planning for discharge when the patient suddenly began to experience diarrhea. On the first day, the patient had two loose bowel movements. By the second day, the episodes of diarrhea were occurring every 2 to 3 hours. The stools were watery and foul-smelling and contained large amounts of mucus. The patient complained of mild abdominal pain and cramping, and she subsequently developed a fever. The physician was notified, and a stool specimen was collected for laboratory testing.  The stool culture came back showing that the patient’s diarrhea was actually caused by the Clostridium difficile. The patient was placed on contact isolation and was started on intravenous metronidazole (Flagyl). With this treatment, the diarrhea gradually slowed and finally stopped. Repeat cultures performed after the metronidazole therapy was completed showed that the infection had been successfully cleared. QUESTION:  What are risk factors for this patient to develop Clostridium difficile infection (2.5 points)? Also give the Domain and type of microorganism C. diff  is (2.5 points).

A completar Type (or copy & paste as given) the verb form that best completes each sentence from the choices given.  “ar” Verbs 1. Los lunes y miércoles mis amigos y yo [BLANK-1] inglés. (compramos/estudiamos) 2. La profesora [BLANK-2] literatura y cultura. (viaja/enseña) 3. [BLANK-3] a clase al mediodía. (Descanso/Camino) 4. ¿Cuándo [BLANK-4] a Guatemala? (viajas/trabajas)

Which type of glia generate a myelin sheath?

You have an appointment in the cancer prevention clinic with GC a 32-year-old Caucasian male. He is concerned about his health since he has been told that cancer runs in “the family”. He knows he needs to make some changes in his lifestyle therefore he has an appointment with you today for some suggestions. He played basketball in high school and club sports in college but now feels like there is never enough time to exercise regularly. He describes his job as very stressful causing difficulty with sleep and additionally reports that he has frequently heart burn. However, he states, “it’s time to make some changes”. Ht: 6’ 3”    Wt: 250 lb. (stable)     Blood Pressure: 142/82 Labs: BMP: normal labs     Lipid panel: T cholesterol: 240    LDL: 132    HDL:  42    TGs: 155 Family History: Dad: stage 1 prostate cancer; Mom: osteopenia   Brother: age 48: stage 1 colon cancer Dad’s family: Uncle with colon cancer; Grandfather: prostate cancer and heart disease; Grandma: unknown Mom’s family: Aunt with pancreatic cancer; Grandfather: heart disease; Grandmother died young Diet history: B: Large bowl of corn flakes with whole milk (~1.5 c); 2 large cups of black coffee (~20 oz. total) L: Fast food typically – burgers, Subway, Pizza Hut, etc., Coke (64 oz.) D: Hamburgers, chicken, casseroles, pizza, French fries, 2-3 of beers with dinner on most nights Snack before bedtime: large bowl of ice cream, chips or popcorn and 6 oz. red wine (helps relieve stress) Design 2 PES Statements (10 points) P:                                     E: S: P: E: S:

You have an appointment in the cancer prevention clinic with GC a 32-year-old Caucasian male. He is concerned about his health since he has been told that cancer runs in “the family”. He knows he needs to make some changes in his lifestyle therefore he has an appointment with you today for some suggestions. He played basketball in high school and club sports in college but now feels like there is never enough time to exercise regularly. He describes his job as very stressful causing difficulty with sleep and additionally reports that he has frequently heart burn. However, he states, “it’s time to make some changes”. Ht: 6′ 3″    Wt: 250 lb. (stable)     Blood Pressure: 142/82 Labs: BMP: normal labs     Lipid panel: T cholesterol: 240    LDL: 132    HDL:  42    TGs: 155 Family History: Dad: stage 1 prostate cancer; Mom: osteopenia   Brother: age 48: stage 1 colon cancer Dad’s family: Uncle with colon cancer; Grandfather: prostate cancer and heart disease; Grandma: unknown Mom’s family: Aunt with pancreatic cancer; Grandfather: heart disease; Grandmother died young Diet history: B: Large bowl of corn flakes with whole milk (~1.5 c); 2 large cups of black coffee (~20 oz. total) L: Fast food typically – burgers, Subway, Pizza Hut, etc., Coke (64 oz.) D: Hamburgers, chicken, casseroles, pizza, French fries, 2-3 of beers with dinner on most nights Snack before bedtime: large bowl of ice cream, chips or popcorn and 6 oz. red wine (helps relieve stress) List his current risk factors for developing cancer (10 points):