Poppy was a senior in high school when she began to worry her parents and friends. Poppy was moody and sensitive. When she entered her sophomore year, she dyed her hair black and started wearing black eye makeup and black clothing. She rarely spoke at home. She would come home from school and hide out in her room. She avoided meals with her family and she was always brooding. Whenever anyone showed concern for her well-being she got angry and pushed them away. One evening, she ran into her mom’s room screaming that she was afraid she was going to die. Blood was pouring from her right arm. Her mother took her directly to the ER - where her mother discovered this was not the first time she had been cutting. Under her long sleeves and long pants, her arms and legs were covered with scars and cuts. Poppy was discovered to be heavy into drugs and drinking and had very few friends. Symptoms: Diagnosis:

Hand washing is an important behavior that can cut down your chances of becoming sick with a communicable disease. select the best answer from the choices provided. t f

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy

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