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An 84-year-old adult presents to an urgent care clinic with complaints of shortness of breath and “palpitations” that come and go. The patient is a winter resident in Florida and saw a primary care doctor before relocating to Florida.  The patient reports a history of “heart problems” but is unsure of what type. The patient has been experiencing these symptoms for several months, and they are worsening. Last night the patient slept in the chair. On physical examination, the treating nurse practitioner observes that the patient is short of breath at rest and has a Grade 3 systolic murmur on the right side of the sternal boarder at the 2nd right intercostal space. The following rhythm strip is obtained in clinic: These findings are suggestive of which cardiac abnormality?   

Select the best answer: An 81-year-old adult female presents to a primary care nurse practitioner following a recent hospitalization for new-onset non-valvular atrial fibrillation. The patient has a history of hypertension and type 2 diabetes and no history of stroke or TIA. Current medications include metformin (Glucophage), lisinopril (Prinivil), and diltiazem (Cardizem). The patient has no known drug allergies.  The atrial fibrillation rate control has been effective. Diagnostic testing has shown no evidence of valvular heart disease. What is the calculated CHA2DS2-VASc score and what, if any, anticoagulation treatment is recommended?

Which one of the following unsupervised algorithm does NOT require a pre-specified number for clusters?

Select the best answer. A 62-year-old adult with diagnosed alcohol-related cardiomyopathy reports no symptoms of fatigue or shortness of breath while sitting. The patient reports dyspnea when walking to the mailbox. Which of the following best describes this patient’s NYHA functional classification?

Given the joint probability distribution table in question NaiveNayes-1, what is the value of P(~toothache | cavity)?   Usual upper/lower case semantics apply.  [ ~ expresses logical Not]

10 (7 pts). Find the area between  and the x-axis for x over [4, 10].   11 (7 pts). Find the area between and and between x = 1 and x = 2.   12 (7 pts). Find the volume of the solid revolution formed by rotating the x-axis with the region bounded by , y = 0, x = 2 and x = 3.

4 (6 pts). Find

Please submit the name of your exam partner.  If you did not take the exam with a partner, just say, “none.”

Select all that apply. Remember to type all lowercase alphabets.   Name four processes that forces air up.  

Multiple choice. When does Localized Convective Lifting of air occur?