A 60-year-old woman presents to the emergency room with 11 h…

A 60-year-old woman presents to the emergency room with 11 hours of chest pain. Her history is notable for hypertension, diabetes, and a hysterectomy a year ago. In the emergency department, her blood pressure is 145/90 mm Hg and heart rate is 92 beats/min. Her lungs are clear. An electrocardiogram shows 2-mm ST-segment elevations leads V1 – V4. Which of the following is true?

“Having undertaken for the glory of God and advancement of t…

“Having undertaken for the glory of God and advancement of the Christian Faith…do by these presents solemnly and mutually, in the presence of God and one another, covenant, and combine ourselves together into a civil body politick, for our better ordering and preservation and furtherance of the ends aforesaid; …and by virtue hereof do enact, constitute, and frame such just and equal Laws,…as shall be thought most meet and convenient for the general good of the Colony; unto which we promise all due submission and obedience. —The Mayflower Compact, Agreement 1620The authors of the excerpt above were MOST likely motivated by

“Now, know ye, that we, being willing to encourage the hopef…

“Now, know ye, that we, being willing to encourage the hopeful undertaking of our said loyal and loving subjects…that our royal will and pleasure is, that no person within the said colony, at any time hereafter shall be any wise molested, punished, disquieted, or called in question, for any differences in opinion in matters of religion, and do not actually disturb the civil peace of our said colony; but that all and every person and persons may, from time to time, and at all times hereafter, freely and fully have and enjoy his and their own judgments and consciences, in matters of religious concernments, throughout the tract of land hereafter mentioned.”  –Charter of Rhode IslandProvisions such as those in the colony of Rhode Island would ultimately encourage movement toward which of the following principles in colonial America? 

A 72-year-old gentleman presented with syncope on exertion….

A 72-year-old gentleman presented with syncope on exertion. He had to walk an extra block this morning to buy milk as the store next door was closed. At the end of the block he felt light-headed and was trying to lean against the wall and the next thing he remembers is lying down on the pavement. He was soon picked up by EMS and brought to the ED. There is no eyewitness to describe the episode. He thinks he passed out for a minute and took a few seconds to figure out where he was. He complains of fatigue and increasing dyspnea on exertion. His exercise tolerance is limited to half a block secondary to shortness of breath. He has orthopnea and paroxysmal nocturnal dyspnea. He has no significant past medical history and the last time he saw a physician was 30 years ago. Rest of the history is not significant. On examination, afebrile, BP 102/72 mm Hg, HR of 98/min, RR of 20/min, and saturating 94% on room air. He has a laceration on the left temporal area from the fall. JVD is elevated to the angle of the jaw, ejection systolic murmur with late peaking in the second right intercostal space radiating to the carotids. Lungs show bilateral basal rales and have mild pedal edema. EKG showed left ventricular hypertrophy, biatrial enlargement, and no ischemic ST-T changes. Chest radiograph is significant for cardiomegaly and pulmonary vascular congestion. Basic metabolic profile is normal, and hematocrit is 36. What is the next best step in the evaluation of this patient with syncope and why?

An 18-year-old adolescent female is brought to the emergency…

An 18-year-old adolescent female is brought to the emergency room because she fainted at a concert. She apparently recovered spontaneously, did not exhibit any seizure activity, and has no medical history. Her heart rate is 90 bpm and blood pressure 110/70 mm Hg. Neurologic examination is normal. The pregnancy test is negative. Which of the following is the most appropriate management?

Clark is planning a new group activity, during what step wou…

Clark is planning a new group activity, during what step would he determine what is possible (includes i.e. equipment and materials available, the rooms or environments that can be used as settings for groups, and the role of the OT in the setting, the rules of the particular facility)?