Five-year-old Cathy is in for her check-up and her mother has concerns regarding a dirty appearing ring around her neck, which you recognize as acanthosis nigricans. As part of your assessment you have a concern for the metabolic syndrome. One feature of metabolic syndrome would be:

(06.06 MC)A person’s bone marrow produces red and white blood cells. Which of the following best describes how damage to a person’s bone marrow would affect his blood and health?

(04.03 HC)For the past 20 years, the population of the invasive Asian Carp in the Mississippi River has skyrocketed while populations of native species have declined. Which of the following conclusions provides the best explanation for this phenomenon?

(06.04 LC)Which of the following organisms exhibits radial symmetry?

(06.07 MC)Many modern tests can detect pregnancy soon after fertilization occurs. Which of the following explains why it is important for a woman to know she is pregnant within the first trimester?

Which of the following is true regarding E-cigarette use:

Given this child’s age and the most common causes of mortality at this age, you decide the two most important safety issues to emphasize today are:    

Susan Smith, age 11, is in clinic with her mother for a routine check-up and immunizations. Just recently, Susan has been teased at school on several occasions about being fat and that is Ms. Smith’s primary concern because she is otherwise “very healthy.” Susan has always been a big girl, and there have been no dramatic changes in weight. She has a good appetite as always, likes most foods, and mom tries to “cook healthy” because her husband has been told he has a somewhat elevated cholesterol level. Both parents are moderately overweight, and Ms. Smith gains and loses 10 to 20 pounds on a regular basis. Susan is in the 5th grade, loves school, and does well; however, she does become anxious whenever she must take any type of test, and she hides in the coatroom when she looks at her test results. She has several school and neighborhood friends and enjoys playing with them. She lives with her mom, dad, and two younger brothers (normal weight). This summer, Susan will be home by herself after summer school for 2-3 hours a day throughout the 6-week session. Susan’s past health history is unremarkable, her immunizations were current upon kindergarten entrance, review of systems is negative, and her physical exam reveals no significant findings other than weight. Her BMI (body mass index) has remained steady over time at the 90th percentile, and her sexual maturity rating is 1.   Obviously, there is much additional information that would be helpful, but write an assessment that reflects your basic thoughts identifying all issues that ideally need to be addressed. Include routine health supervision as well as any additional issues you wish to address. Then, create a succinct, but detailed, plan to accompany your assessment, be sure to provide rationale Assessment:   1.   2.   3.   4.   5.   Plan: Rationale: Considering all you’ve learned about well child care and psychosocial issues, prepare a rationale so that you reflect knowledge of why you have decided on your plan of action. Number your rationale to correspond with your plan.

(05.02 HC)A single female frog can lay as many as 10,000 eggs in a breeding season, each egg carrying a unique combination of genes from its parents. Of these, all but a few are eaten or otherwise killed before reaching adulthood. How might laying so many eggs affect the long-term survival of the frogs should the environment change?

(06.02 MC)Some of the members of the protist kingdom have to take in food from their environment in order to survive as members of the animal kingdom. Why are these organisms classified as protists and not as animals?