40) The percentage of the last dollar you earn that goes toward your taxes is your      A) average tax rate. B) tax deferral rate.C) base tax rate. D) marginal tax rate. E) none of the above 

After inserting a speculum during a pelvic exam, the cervical os cannot be visualized to collect the pap test.  All of the following are appropriate options to locate the cervix EXCEPT:

A 25-year-old G2P1 at 10 weeks presents to her initial prenatal appointment with increased nasal congestion and mucous.  She denies any fever or other symptoms.  She reports her nose is “always running.”  What causes pregnancy rhinitis?

Normal vaginal secretions have a pH range of: 

A 21-year-old patient presents for her first prenatal visit.  When discussing nutrition in pregnancy, the patient notes she eats the following in a typical day: Breakfast:  Scrambled eggs and toast with unpasteurized orange juice Lunch:  Submarine sandwich with deli meat, American cheese, and vegetables, not toasted Dinner:  Steak, rare, asparagus, and mashed potatoes What items are important to discuss?

A 24-year-old male has a reactive Rapid plasma reagin (RPR) and a positive FTA-ABS test.  The patient is allergic to penicillin.  What is the appropriate therapy for this patient?

A 46-year-old patient presents for a well woman exam and desires a contraceptive method with the highest effectiveness rate to prevent pregnancy.  She has a BMI of 24 and has no chronic medical conditions.  Which option is the best response?

A 28-year-old patient presents to the clinic for her 6 week postpartum visit.  She is exclusively breastfeeding and desires to use the lactational amenorrhea method (LAM), but wants to know if there are other options that can be used with breastfeeding.  Your education includes:

A 37-year-old G4P3012 presents for her appointment at 32 weeks and notes she has been having pain in her lower legs.   Examination:   What supportive measure would be most helpful for this patient?

Which conjugated dienes would not react with a dienophile in the Diels-Alder reaction?