Nancy Walker, a medical assistant, asks a patient if he has been experiencing any pain. He says that he has not, but when he moves from the chair in the examination room to the exam table, Nancy notices that he limps, his facial muscles are tense, and there is a light sweat on
his forehead. What other nonverbal signals might indicate that the patient has not been completely honest?

Jessica said she would never work for less than $12 an hour, but then she got a job looking after children in the afternoon, and it pays only $6 an hour. now she says that money isn't as important as enjoying her work. this is an example of: apex

A24-year-old g4p2 woman at 34 weeks gestation complains of a cough and whitish sputum for the last three days. she reports that everyone in the family has been sick. she reports a high fever last night up to 102°f (38.9°c). she denies chest pain. she has a history of asthma with no previous intubations. she uses an albuterol inhaler, although she has not used it this week. vital signs are: temperature 98.6°f (37°c); respiratory rate 16/minute; pulse 94 beats/minute; blood pressure 114/78; peak expiratory flow rate 430 l/min (baseline documented in the outpatient chart = 425 l/min). on physical examination, pharyngeal mucosa is erythematous and injected. lungs are clear to auscultation. white blood cell count 8,700 mcl; arterial blood gases on room air (normal ranges in parentheses): ph 7.44 (7.36–7.44); po2 103 mm hg (> 100); pco2 26 mm hg (28–32); hco3 19 mm hg (22–26). chest x-ray is normal. what is the correct interpretation of this arterial blood gas?

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.