Bonus Question: A 72-year-old male has a past medical history that is significant for severe and uncontrolled hypertension; he is brought into the emergency room by his family due to a 30-minute history of change of mental status. The patient had just climbed stairs when he first developed a headache that has become progressive; it is associated with nausea, non-bilious vomiting, and unilateral upper and lower extremity numbness. His physical exam reveals an alert patient who is not oriented to time, place, or person. He is afebrile, with a blood pressure of 185/108 mm Hg, and there is nuchal rigidity present. His neurological exam notes contralateral sensory loss, contralateral hemiparesis, gaze paresis, homonymous hemianopia, and miosis. A CT scan without contrast was performed, and it is shown in the image below.  Your preceptor asks you to calculate the patient’s current mean arterial pressure (MAP).  MAP = / 3

A 46-year-old G0P0 female presents to her primary care provider with insomnia. Over the past 3 months, she has experienced insomnia nearly every night, which is affecting her workplace performance. When she tries to sleep, she reports feels a “crawling” sensation deep inside her calves. She feels better when she repositions her legs, but the sensation always returns. She has no known medical problems and denies any current prescription or over the counter medications. Her menstrual cycles are described as “regular, heavy, and stable” over the past 5 years. Her last menstrual period was 3 weeks ago. She does not smoke or drink alcohol. Vital signs: T 99.6°F, BP 120/70 mmHg, HR 80/min, and RR 18/min. On physical exam, her calves are non-tender to palpation. Sensation is intact to light touch in both feet. Ankle reflexes are 2+.   Based on the suspected diagnosis, measurement of which of the following would be most appropriate to obtain in this patient?

Huntington’s disease is a degenerative neurologic condition due to a mutation in a gene on the fourth chromosome. Based on your knowledge of the type of genetic inheritance associated with this condition, what is the likelihood that a child of a parent with Huntington’s disease will inherit the abnormal copy of the gene from that parent?

A 76-year-old female presents to the emergency department after a ground-level fall. Over the past 6 months, she has experienced progressive experienced difficulty ambulating and has trouble focusing. Two months ago, her daughter discovered that the patient had urinated on herself, after which the patient began wearing diapers. She has a history of hypertension for which she takes amlodipine. She has never smoked cigarettes and does not drink alcohol. Vital signs: T 98.6°F, BP 112/70 mmHg, HR 90/min, and RR 18/min. Physical examination reveals an elderly female with a strong urine odor. There is no papilledema on fundoscopy. Cardiac and pulmonary exam reveals no murmurs, rubs, or gallops. She has a wide-based gait and takes small, slow steps. Which of the following findings on Brain MRI is expected?

Earth art is:

Who was the primary artist known for performance art?

What culture is known for their BCE architectural works (sculpture, columns, and buildings)?

Please write 8 to 10 sentences about this portrait in paragraph format. Kara Walker’s “USA Idioms” (2017)

Which modern artist was known for his pop art in the 1960’s?

True or False:  The Surrealist artists Salvador Dali and Luis Bunuel made the film “Un Chien Andalou.”