Fearing the potential for tyranny with only one group in power, what system created three separate branches of government, an executive, legislative, and judicial branches that would maintain a balance of power?

A patient weighing 198 pounds has experienced a thermal burn. The patients total body surface area burned is the following: The whole head, whole anterior of abdomen and chest, top half of back, and both arms. Using the Parkland Formula, how much total fluid in mL will the patient be receiving in 24 hours?   mL (only give numerical value, round to the nearest whole number) How much total fluid in mL will the patient receive in the first 8 hours after the burn?   mL (only give numerical value, round to the nearest whole number) What will be the infusion rate in ml/hour will the fluid be running for the next 16 hours?   mL/hr(only give numerical value, round to the nearest whole number) (Write only whole numbers in the fill in the blank areas; use commas if needed) (Round to the nearest whole number)    

The patient is reporting feeling short of breath and is very anxious 15 minutes after being administered a new intravenous antibiotic medication. You can audibly hear loud wheezing coming from the patient. If you were concerned the patient is having an allegic reaction and is experiencing upper airway swelling, where would you place your stethoscope to ausculate and confirm the presence of stridor?

The nurse is caring for a client in septic shock on a ventilator, Mean arterial pressure (MAP) is 52 despite being on norepinephrine and epinephrine intravenous medications and fluids. The client’s assessment reveals anuria on hemodylasis, skin is jaundice and liver function tests are elevated, and ABGs show severe acidosis despite being on a ventilator with 100% FiO2. The care team has exhuasted all options and now the plan is to discuss withdrawing care within the next day if there is no improvement in the patient’s status. What stage of shock is this client likely in?

A 58-year-old male presents for his annual physical and on examination is noted to have a waist circumference of 110 cm, BP 148/96.  Laboratory test findings include fasting blood glucose level 116 mg/dL, triglyceride level 200 md/dL, and HDL level 36 mg/dL.  Based on these clinical findings, you determine:

A 24-year-old female with no significant PMH presents to the Emergency Department for chest pain that began approximately 1 hour ago. She denies any trauma to the chest and describes the pain as a “pressure-like” sensation affecting the middle of the chest. She has no medical history and takes oral contraceptive pills. A few hours ago she attended a party where she was smoking crack cocaine and subsequently developed this chest pain. BP 176/104 mmHg, HR 108/min, and RR 18/min with pulse ox of 99% on room air. Chest auscultation is unremarkable. An electrocardiogram is obtained (see image below).  Based on these findings, what is the diagnosis for this patient?       

A 65-year-old female is admitted to the ER with a 3-hour history of cyanosis, shortness of breath, and substernal chest pain.  She had been discharged 5 days earlier after having a total hip replacement due to severe osteoarthritis.  The hip surgery was uneventful.  On examination, the patient is in obvious acute respiratory distress.  Her respiratory rate is 40/min and her breathing is labored.  The patient’s room air oxygen saturation level is 86%.  Her blood pressure is 100/70 mm Hg.  Cyanosis is present.  Cardiac examination reveals increased pulmonic component of the second heart sound (S2).  Abnormal lung sounds, including rales and wheezes, are present bilaterally.  Based on the information provided, which of the following tests will be the preferred intervention to establish the diagnosis?

A 32-year-old male presents with a 3-day history of fever with chills and severe weakness.  There are no other complaints.  The patient has a history of unprotected sex with multiple previous partners.  He also reports a history of travel to South America and consumption of food from street vendors while working there one month ago.  He admits to intravenous drug abuse.  The patient denies a history of previous blood transfusion.  Abdominal exam reveals mild hepatomegaly.  Routine laboratory tests are ordered, including CBC, CMP, HIV, and Hepatitis serology panel.  Liver enzymes are elevated and Hepatitis C virus antibody test is positive.  Testing for Hepatitis A and Hepatitis B is negative.  How did this patient most likely acquire Hepatitis C infection?

Patient is a 26-year-old female with no significant PMH who presents to Internal Medicine office with recent onset of sore throat, fever, and malaise that developed 7 days ago. She complains of severe throat pain, more pronounced on the right, and right ear pain. She reports severe pain with swallowing and states that for the past day, she has been unable to open her mouth widely. Patient is noted to have muffled (“hot potato”) voice.On physical exam she is breathing comfortably. Her vital signs are temperature, T: 102.2°F; HR 102/min; BP 110/70 mm Hg; and RR 15/min.  Examination of the oropharynx revealed a markedly enlarged right tonsil with associated swelling of the soft palate uvular deviation to the left. The right tympanic membrane is clear, with good light reflex and no bulging. There is tender anterior cervical lymph nodes bilaterally. The lung exam was normal and no stridor was noted.  Throat culture is obtained.  What is the most likely bacterial pathogen isolated from the oropharyngeal culture performed by the provider?

A 42-year-old male with chronic complaints of heartburn and regurgitation, presents for follow up after undergoing upper endoscopy which revealed Barrett’s esophagus.  Which of the following is the most serious potential medical complication in this patient?