Evolution occurs because

How many NADH are produced with 30 glucose molecules?

Endosymbiotic theory states

A nurse is assessing a child’s ear.  Which of the following findings should the nurse expect? 

test question one

Roger has been referred to outpatient physical therapy by his PCP as his PCP felt that before he joins a gym, he should have a complete “fitness evaluation”. Roger, a 50-year-old architect, is a new client who recently decided he should join a gym to get healthy and be more active. He is 5 feet 7 inches and weighs 220 pounds (100 kg). His waist circumference is 40.5 inches, and his hip circumference is 37 inches. Roger is a nonsmoker with 74 BPM HRrest, 132/82 mmHg BP, 200 mg·dL−1 total cholesterol, 38 mg·dL−1 HDL-C, 121 mg·dL−1 LDL-C, 170 mg·dL−1 triglycerides, and 90 mg·dL−1 fasting glucose. His father and mother are in their 70s and are apparently healthy.  During additional preactivity screening, Roger had difficulty holding his extended arms directly overhead without arching his back, pushing his head and neck forward, and flexing at his waist when performing a series of overhead squats. He also seemed to become very knock-kneed (genu valgus) during the descent phase of the overhead squat. He stands with a forward head, rounded shoulders, and an anteriorly tilted pelvis. Roger does not currently have back pain; however, he did have some low back and leg pain after both the bike test and the sit-and-reach test, which was alleviated by standing and gently leaning backward. Upon discussing his medical history, Roger reports occasionally taking ibuprofen for low back pain. His physician told him that he has slight degeneration of a disc in his low back and metabolic syndrome. He wants him to get in shape and lose weight before he considers placing Roger on medications. His current activity includes walking his 5-month-old Labrador Retriever for about 2 miles (approximately 40 minutes) daily. In addition, he plays seasonal golf and softball, and he used to play three-on-three basketball (2 years ago), an activity he would like to be able to participate in again. He often feels “tired all over” after walking his dog and hopes that a structured exercise routine that combines endurance training and full-body strength training will help him lose weight and stay healthy, making walking his dog easier, improving his golf game, and enabling him to start playing basketball again. During the first 4 weeks, Roger’s aerobic exercise program should include everything below except:

Roger has been referred to outpatient physical therapy by his PCP as his PCP felt that before he joins a gym, he should have a complete “fitness evaluation”. Roger, a 50-year-old architect, is a new client who recently decided he should join a gym to get healthy and be more active. He is 5 feet 7 inches and weighs 220 pounds (100 kg). His waist circumference is 40.5 inches, and his hip circumference is 37 inches. Roger is a nonsmoker with 74 BPM HRrest, 132/82 mmHg BP, 200 mg·dL−1 total cholesterol, 38 mg·dL−1 HDL-C, 121 mg·dL−1 LDL-C, 170 mg·dL−1 triglycerides, and 90 mg·dL−1 fasting glucose. His father and mother are in their 70s and are apparently healthy.  During additional preactivity screening, Roger had difficulty holding his extended arms directly overhead without arching his back, pushing his head and neck forward, and flexing at his waist when performing a series of overhead squats. He also seemed to become very knock-kneed (genu valgus) during the descent phase of the overhead squat. He stands with a forward head, rounded shoulders, and an anteriorly tilted pelvis. Roger does not currently have back pain; however, he did have some low back and leg pain after both the bike test and the sit-and-reach test, which was alleviated by standing and gently leaning backward. Upon discussing his medical history, Roger reports occasionally taking ibuprofen for low back pain. His physician told him that he has slight degeneration of a disc in his low back and metabolic syndrome. He wants him to get in shape and lose weight before he considers placing Roger on medications. His current activity includes walking his 5-month-old Labrador Retriever for about 2 miles (approximately 40 minutes) daily. In addition, he plays seasonal golf and softball, and he used to play three-on-three basketball (2 years ago), an activity he would like to be able to participate in again. He often feels “tired all over” after walking his dog and hopes that a structured exercise routine that combines endurance training and full-body strength training will help him lose weight and stay healthy, making walking his dog easier, improving his golf game, and enabling him to start playing basketball again. Roger wants to begin playing competitive three-on-three basketball (~8 METs). His VO₂ max is 9 METs. His initial training intensity is 60–80% of V̇O₂.  Which MET range is appropriate for Roger’s aerobic training during the first 4 weeks based on his estimated VO₂ max of 9 METs and prescribed intensity?

A new client, Drew, a 47-year-old man, recently joined and exercise facility in town and is referred to you, the PT, by his PCP to assist in development of an appropriate and safe exercise program. He currently weighs 315 pounds, and is 5 feet, 11 inches tall with a current waist circumference of 127 cm. Because of his waist girth and weight, body composition estimation was not possible via skinfolds. He currently does not engage in any regular physical activity. At his initial consultation, you measured his resting heart rate at 58 bpm, and his resting blood pressure was 138/72 mmHg. At his most recent doctor’s visit (18 months ago), his fasting blood measures were as follows: total cholesterol = 192 mg/dL, HDL-C = 41 mg/dL, LDL = 117 mg/dL, triglycerides = 169 mg/dL, and glucose = 137 mg/dL. On his health history questionnaire, Drew states that he has previously been diagnosed with high cholesterol, high blood pressure, and diabetes mellitus. He reports no symptoms suggestive of ischemia. He is currently on several medications including Lipitor (statin for cholesterol), Atenolol (beta-blocker for blood pressure), and Metformin (biguanide for glucose control). He reports that his father was diagnosed with diabetes in his 40s and had a nonfatal heart attack at age 52. He denies any other medical condition or any bone, joint, or soft tissue problems. During your initial consultation, Drew discussed his desire to improve his overall health and prevent the occurrence of a premature myocardial infarction. He realizes that he is not in good health and not physically active. He wishes to make the necessary changes to lose weight, to improve his risk factor profile, and hopefully not to go down the same path as his father. Which of the following is the most appropriate CPT code to bill for Drew’s initial physical therapy evaluation based on the complexity of his medical status?  

A new client, Drew, a 47-year-old man, recently joined and exercise facility in town and is referred to you, the PT, by his PCP to assist in development of an appropriate and safe exercise program. He currently weighs 315 pounds, and is 5 feet, 11 inches tall with a current waist circumference of 127 cm. Because of his waist girth and weight, body composition estimation was not possible via skinfolds. He currently does not engage in any regular physical activity. At his initial consultation, you measured his resting heart rate at 58 bpm, and his resting blood pressure was 138/72 mmHg. At his most recent doctor’s visit (18 months ago), his fasting blood measures were as follows: total cholesterol = 192 mg/dL, HDL-C = 41 mg/dL, LDL = 117 mg/dL, triglycerides = 169 mg/dL, and glucose = 137 mg/dL. On his health history questionnaire, Drew states that he has previously been diagnosed with high cholesterol, high blood pressure, and diabetes mellitus. He reports no symptoms suggestive of ischemia. He is currently on several medications including Lipitor (statin for cholesterol), Atenolol (beta-blocker for blood pressure), and Metformin (biguanide for glucose control). He reports that his father was diagnosed with diabetes in his 40s and had a nonfatal heart attack at age 52. He denies any other medical condition or any bone, joint, or soft tissue problems. During your initial consultation, Drew discussed his desire to improve his overall health and prevent the occurrence of a premature myocardial infarction. He realizes that he is not in good health and not physically active. He wishes to make the necessary changes to lose weight, to improve his risk factor profile, and hopefully not to go down the same path as his father. In designing a physical therapy plan of care for Drew, what is the most appropriate initial aerobic exercise prescription?  

ONE (1) RESTROOM BREAK MAXIMUM 5-min DURATION. eTextbook URL: https://connect.mheducation.com/class/k-chakraborty-finance-finc—5300—summer-25 Microsoft Excel (cloud version): https://luconnect.lamar.edu/ Click Office 365, log in, then Excel from the Apps list. OR use your previously installed desktop version of Excel.