You are called to the scene of a single motor vehicle accident where a 19-year-old male has lost control of his vehicle and hit a tree. the patient is still seated in the driver’s seat and is speaking incoherently. you are holding cervical spine control while opening the airway and notice a fruity odor on his breath. you notice a small bump on the left side of the patient’s head and a minor laceration to the forehead. the patient’s pulse is 40 and respirations are irregular at 6. once you have finished your primary (initial) assessment, you should proceed with your assessment by performing a: a rapid secondary assessment (rapid trauma survey). b complete secondary assessment (detailed physical exam). c modified secondary assessment (focused exam) of the head. d diabetic history evaluation.

The herpes viruses are important enveloped dna viruses that cause disease in vertebrates and in some invertebrates such as oysters. some of the human forms are herpes simplex virus (hsv) types i and ii, causing facial and genital lesions, and the varicella zoster virus (vsv), causing chicken pox and shingles. each of these three actively infects nervous tissue. primary infections are fairly mild, but the virus is not then cleared from the host; rather, viral genomes are maintained in cells in a latent phase. the virus can later reactivate, replicate again, and infect others.in electron micrographs of hsv infection, it can be seen that the intact virus initially reacts with cell surface proteoglycans, then with specific receptors. this is later followed by viral capsids docking with nuclear pores. afterward, the capsids go from being full to being "empty." which of the following best fits these observations? a) viral capsids are needed for the cell to become infected; only the capsids enter the nucleus.b) the viral envelope is not required for infectivity, since the envelope does not enter the nucleus.c) only the genetic material of the virus is involved in the cell's infectivity, and is injected like the genome of a phage.d) the viral envelope mediates entry into the cell, the capsid mediates entry into the nuclear membrane, and the genome is all that enters the nucleus.