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When thinking of the component structure of games, which of the following can be described as having “competitive means – competitive ends”?

Which approach to understanding arousal, stress, and anxiety is based on the following premise? Here is the premise: At low levels of arousal, performance will be below par. As arousal increases, performance will also increase until the athlete gets to a point of arousal where performance is optimized. But if arousal continues to increase beyond this point, performance will begin to go down.  

In understanding the stages of competition, what best characterizes the “subjective competitive situation”?

A 42-year old woman presents for an evaluation of back pain. She states that she has a history of recurrent UTI’s and that on occasion, she has noted that her urine appears red. Upon physical examination, she demonstrates CVA tenderness and a palpable abdominal mass. Her vital signs include blood pressure of 145/90 mmHg, RR 16 breaths/min, and a HR of 72 bpm. You order a UA that reveals: leukocyte esterase 1+, protein trace, and blood 3+. The microscopic examination reveals 5-10 WBCs/hpf and 20-30 RBCs/hpf. An abdominal US demonstrates multiple, bilateral fluid collections within the kidneys. What is the most likely diagnosis?

A 57 year old female with a past medical history of SLE presents with dyspnea. She admits to having a chest cold for the past 10 days. On physical exam, she is diaphoretic with a heart rate of 120 bpm. You order a preliminary CXR which shows an enlarged cardiac shadow, without infiltrate. The most likely diagnosis now is: 

A 45 year old male complains of vague chest discomfort associated with dyspnea. This pain increases with exertion. He is also a “nervous” person and is prone to anxiety. An abnormality of which of the following is most specific for chest pain of cardiac etiology?

A 43-year-old receptionist presents to your office with pain and swelling in the front of her neck. She reports she is getting over a “cold”, but is noticing increasing fatigue, palpitations, sweating, and anxiety over the past few days. Her anxiety has become so bad, that she does not feel that she can go to work. On physical exam her vitals: temp. 100.2 degrees F, pulse 106/min, BP 110/70mmHg and respirations 16/min. Respiratory, cardiac and abdominal exam are within normal limits. What would be the most appropriate bloodwork to order at this time?

A 6 year-old girl is brought to your office by her mother because of a rash. The mother first noticed the rash 1 day ago. The mother reports that several kids in the child’s school have come down with chicken pox but that the child has received all of her immunizations including two doses of the varicella vaccine. You observe the child actively playing with the toys in your waiting room before both the mother and child are brought back. The child has a temperature of 100.4 degrees F, a pulse of 90 beats per minute, a blood pressure of 100/70 mmHg and a respiration rate of 20 breaths per minute. The physical examination is unremarkable except for 20 vesicles on erythematous bases sparsely scattered on the child’s trunk and limbs. Which of the following is the most likely diagnosis?

A 53-year-old Caucasian male comes in with a 2-week history of severe headaches mostly during the night. The patient is pacing while he is talking. During the history taking, he states that the symptoms of pain around one eye last for 30 to 90 minutes in duration. He also states that there is ipsilateral lacrimation, conjunctival injection, and nasal congestion during the attacks. The patient states that he has had these headaches two or more times in a day over a period of several weeks. He cannot point to one thing that triggers them. On examination, the patient has features of partial Horner’s syndrome. His vital signs are temp. 97.0 F, HR 80/min, RR 16/min, BP 126/80 mmHg. The patient’s headache is most likely:

Photoelectric interactions involves the _______ of an _______ shell electron.