I have read the academic integrity guidelines Download acade…

I have read the academic integrity guidelines Download academic integrity guidelines and agree to follow the requirements outlined in the confidentiality statement.  I agree not to use unapproved resources, including phones, smart watches, etc, during this exam. I understand that I must agree to this statement to receive credit for this exam. 

General Medicine Note: 3/10/25 Nadine Everett               …

General Medicine Note: 3/10/25 Nadine Everett                       DOB: 2/16/1955 CC: “I’m here to see my new primary care physician and get my prescriptions refilled.” S: HPI: 70-year-old female who presents for evaluation and follow-up of her medical problems. She has no particular complaints today. She feels “okay” today and would like to establish care to get her prescriptions refilled. Patient monitors her blood pressure at home a few times per week using appropriate technique. Takes medication regularly; has not missed a dose of any of them in the last month. Denies side effects from all medications. Recent home BP readings – obtained from home automatic cuff: Date2/242/283/53/9 Blood pressure (mmHg)142/90146/84144/86146/82 PMHObesityHypertensionHyperlipidemia SH Tobacco: smokes 1 pack per day Alcohol: drinks 1-2 glasses of wine every night of the week to unwind Exercise: She walks to the mailbox, about 5-10 minutes/day Salt: She does not pay attention to sodium content of foods. She cooks most of her dinners, and she usually adds table salt to her foods. She eats fast food for lunch (McDonalds, Subway, and Wendy’s) most days of the week. Caffeine: Does not drink caffeine FH Mother had type 2 diabetes, heart disease and died of myocardial infarction at age 72 Father had HTN and hyperlipidemia and died of “old age” at age 88  Allergies/intolerances: amlodipine (leg swelling) Medications:Lisinopril 40 mg daily (started ~3 years ago)Rosuvastatin 10 mg daily (started ~3 years ago)   O: ROSStates that overall, she is doing “okay”. Denies chest pain, SOB at rest, hemoptysis, N/V/D or blood in stool. Physical ExamGen: The patient is a WDWN, obese female in NAD.VS: BP = 140/82 (sitting), HR 70 (regular), RR 16, T 37.1 C, Ht. 63″, Wt. 83 kgHEENT: NCAT, PERRLA, EOMI. TMs clear throughout and without drainage; sclerae without icterus. Normal fundoscopic exam.Neck: Supple without masses or bruits, no thyroid enlargement or lymphadenopathyLungs: CTA bilaterally; No crackles or wheezing heardHeart: RRR; S1 and S2 present, no S3 or S4.ABD: Soft NTND; no masses, bruits, splenomegaly, hepatomegaly. Normal BS.Rectal/GU: Heme (-) stool.Ext: No clubbing, cyanosis, or edema. Neuro: No gross motor-sensory deficits present. CN II-XII intact. Negative Babinski. Labs (drawn 3/10/25 at 0716) Chem Panel (fasting) 10-yr ASCVD risk: 25.8% (3/10/25)BMI = 32.3   A/P: Will defer to medication management clinic pharmacist for plan moving forward for hypertension and lipid management. Please see information above and indicate assessment/plan in your note. I will review your assessment and plan, as well as orders you have placed. Thank you! Dr. Esposito, MDSigned:  3/10/25  10:42:00

In Plate 11.4, figure 1 and figure 2, pages 382 and 383: Na…

In Plate 11.4, figure 1 and figure 2, pages 382 and 383: Name the tissue, stain and magnification in each photo. The label “ID” in the photos indicate what structure? What is the significance of “ID” in cardiac tissue? How does cardiac tissue differ from skeletal and striated visceral muscle, as described by the author?  

  In Plate 11.6, figure 1 and figure 2, pages 386 and 387:…

  In Plate 11.6, figure 1 and figure 2, pages 386 and 387: Name the tissue, stain and magnification in each photo. In the top, right photo, the smooth muscle cell nuclei appear in a “corkscrew” or “spiral” shape. What function causes this shape to occur? Where in the body is smooth muscle found?I What structure is depicted by DICT? What staining quality does this tissue exhibit.

In Plate 8.3, figure 1, 2 and figure 3, pages 275 and 276:…

In Plate 8.3, figure 1, 2 and figure 3, pages 275 and 276: Name the tissue, stain and magnification in each photo. The sections labeled “EB” identifies what structure?  When does EB growth begin and end in the life cycle? What are the two specialized cells that are involved in the formation of bone and the removal of bone in the remodeling process? The middle picture has a section labeled “CAV”.  What is CAV? What does CAV contain? What is the “BMC”?