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Houses the cells DNA and “governs” the functions of the cell.

Randall is a 35-year-old construction worker. He presents with a six week history of heartburn. This burning sensation in his epigastric area is worse after meals. He also notes it wakes him up at night with the feeling of it moving from his epigastric area to his mid chest.  He denies black tarry stools or bright red blood in his stools. He has had not vomiting. He gets short-lived relief with taking antacids like Tums or Rolaids.  He has had no weight loss.  He smokes two packs of cigarettes every day and drinks 2-3 beers each evening, usually right before bedtime. His diet consists of primarily fast food from the local food trucks. His favorite is hot grilled Italian sausages smothered in onions and peppers. He drinks 6-8 cups of coffee per day.  He denies any prescription medications or significant illnesses. He does take Over-the-counter Naproxen Sodium (an NSAID) almost daily because of his aches and pains from construction work.  No family history of cancer, specifically no GI cancer.  Exam shows a young male in no acute distress. He is 72 inches tall and weight 260 lb. BMI is 35  The only significant finding on exam is some mild epigastric tenderness without rebound or guarding.  Rectal exam shows normal colored stool that is negative for blood  CBC, electrolytes, renal function, liver function tests are all normal. Does Randall need further testing before treatment is initiated? Why or why not? (4pt) What are 3 lifestyle changes you would recommend to alleviate his symptoms? (6pt) Give two of the six alarm signs for the work up of dyspepsia. (4 pt) If an alarm sign is present, what is the first step in the work-up? (2pt)

When focusing on harm reduction for patients who abuse opioids, which of the following is not an appropriate strategy?

A patient is newly diagnosed with mild GERD. Which of the following medications might be prescribed first? Think what we discussed in class only.

Mike launched a successful paint manufacturing business. He sells his products worldwide and has hired more than 400 employees. Mike was very hands-on when launching his business; he believes his role may need to change. How should Mike’s role evolve to further business success?

Name the region labeled 21.

Mike owns a candy called Sweet Tooth. Mike is putting together a balance sheet as of December 31. If the business has assets worth $1,000 and liabilities worth $200, what is the shareholders’ equity?

What is the term given to a type of receptor that is utilized for pain sensation? In general, how do opioids affect the ascending pathway for pain perception?  

Billy and Jill own and operate a cupcake bakery called BJ’s Cups. They set a goal to make 500 cupcakes a day. To achieve maximum productivity, Billy bakes while Jill decorates and helps customers, but they often help each other complete a task. What mechanism are Billy and Jill using to coordinate work?

According to Maslow, Physiologic Needs are essential to maintain: