Your next patient is a 46-year -old woman recently diagnosed with congestive heart failure.  You hear a S3 during your cardiac exam.  A S3 is a short and low pitched sound that is best heard with the bell of the stethoscope at the apex of the heart.  A S3 is created by:

A patient comes into urgent care with complaint of headache, high fever, confusion and is unable to bend his neck forward and touch his chin to chest, a sign known as nuchal rigidity. Which disease process do you suspect?

It is important to assess cognitive function to identify mild cognitive impairment that may indicate the onset of dementia or cognitive changes associated with normal aging. The Mini Mental State Exam (MMSE) is a standard screening tool that is used often with older patients to

__xid-227283629_2.JPG Is this a plant or animal cell? What phase of the cell cycle is being demonstrated?

__xid-227283619_2.JPG  What phase of the cell cycle is shown here? What would the next phase in the cell cycle be following this one?

__xid-227283616_2.JPG What structure is indicated by the arrow? What form is the DNA in?  chromatin, sister chromatids, or daughter chromosomes?

__xid-227283611_2.jpg  We observed photosynthesis using spinach leaves.  Did the leaves fall or rise when they did photosynthesis? What gas did they release to rise or fall?

What type of cell is shown in the image below?  Is the cell diploid or haploid?  __xid-227283595_2.JPG 

If the following was added to a test tube, would a reaction take place? Why or why not? How would you know if a reaction did take place? __xid-227283596_2.JPG 

You are called to evaluate a 3-year-old child that has a respiratory illness. The child is on his hands and knees in his bed. The mother says he has had a bad cough before but never like this. This cough, which sounds like inspiratory stridor to you, came on suddenly tonight. You are aware of the child’s position, but also that he is drooling, not swallowing, and has circumoral cyanosis. The mother says the child has never used an inhaler and has no chronic problems. Your best action at this time is to: