25. Insulin is produced by the:

14. The state of equilibrium in the internal environment of the body is called:

34. Which procedure involves excision of the pituitary gland through the nasal cavity via the sphenoid sinus without disturbing brain tissue?

What is the primary religious significance of al-Husayn’s martyrdom for Shi’a Muslims?

What message does the archangel Gabriel deliver to Muhammad in the ta’ziyeh’s final scene?

 What is a key theological difference between Sunni and Twelver Shia Islam regarding religious obligations?

According to traditional Twelver Shi’a doctrine, what was the primary role of religious scholars (ulama) during the occultation of the Twelfth Imam?

10 year old male with no PMH, vaccination up to date reports acute onset of left testicular pain that started 2 hours ago while playing baseball.  The child denies any known injury, but the pain has been constant with no alleviating factors.  Patient denies difficulty urinating, abdominal pain, nausea, vomiting or diarrhea.  No recent illness as per parents.  On exam, the patient is moderate painful distress.  Left testicle with erythema, swelling and tenderness on palpation.  Right testicle appears normal and with no pain.  Penis with no deformities, lesions or tenderness.  Otherwise, exam is unremarkable.  VS: BP: 115/65 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide a reading for the following image: 1. Type of image, wiev2. Abnormal findings/description3. Other findings/normal findings if pertinent

35 year old female G2P2 with no PMH reports dysmenorrhea and heavy menstrual bleeding.  The patient reports her menstruation is regular, but premenstrual and menstrual symptoms have worsened in the last few months.  The patient reports severe bloating before menstruation, menstrual cramps have become severe, and menstrual bleeding has become very heavy.  She reports she needs to change her pads every 2-3 hours due to soaking through.  LMP was 1 week ago.  On exam, patient is in no distress.  On pelvic exam: cervix is closed with no lesions, uterus non-tender, but slightly enlarged symmetrically; no adnexal masses, no pelvic motion tenderness.  Otherwise, exam is unremarkable.  VS: BP: 120/70 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide differential diagnosis for this presentation (list at least 5) AND what imaging would be indicated for this case.

The modern EMS system in the United States began in the: