A 32-year-old female with a 5-year history of ulcerative colitis presents to your family practice clinic with a 3-week history of worsening abdominal cramping, urgency, and 6–8 bloody stools per day. She reports fatigue and unintentional weight loss. She has been maintained on oral mesalamine with good control until recently. Vital signs are stable. Labs show mild anemia and elevated CRP. Stool studies are negative for infection. Colonoscopy performed last year showed moderate left-sided disease. She has never received immunomodulators or biologic therapy. You initiate oral prednisone for induction of remission. After 4 weeks, her symptoms improve, but she develops recurrent symptoms during steroid tapering. Which finding indicates the need to escalate therapy beyond glucocorticoids?

A 68-year-old male presents to your clinic with complaints of intermittent heartburn occurring several times per week. His medical history includes hypertension, chronic kidney disease stage 3, and osteoarthritis. Current medications include lisinopril, hydrochlorothiazide, levothyroxine, and calcium supplements. He reports using an over-the-counter antacid daily for symptom relief and states, “I usually take it with my morning medications because it works faster that way.” He denies abdominal pain but reports intermittent constipation over the past month.   What is the most appropriate counseling statement by the FNP?

Which of the following is a contraindication for the use of oxybutynin?

Which of the following would be a threat to a state’s sovereignty?

Marxist theory holds that which of the following are most important for understanding global politics?

Eventually the balloon has enough air in it to just start lifting the container. This happens when the balloon’s diameter is 3m.  What is the mass in kg of the container and its contents, including the seawater filling it?

For Questions 2a and 2b A full shipping container falls off a ship, fills with seawater, and sinks to the bottom of the harbor. The container is 6.1m long, 2.4m wide and 2.6m high. Salvage experts dive down to it and attach a spherical balloon to the container, which they can pump air into from the surface. The density of seawater is 1029 kg/m^3. The formula for volume of a sphere is V = 4/3 * pi * R^3.

What is the smallest distance from the lens to the film in this camera? The index of refraction for crown glass is 1.52. Please answer in units of centimeters.

What happens if you cool Assembly A by 50°C? Does the nut fit looser or tighter?

One common criticism of civil society filling gaps left by governments is