Online Dating Essay Example | Topics and Well Written Essays - 1500 words

Web based Dating - Essay Example A few people have ended up associated with web based dating, paying little heed to the earnestness of their contribution. Ongoing exploration has indicated that a greater number of men are associated with web based dating than ladies and different reasons have been seen as the reason. In any case, men are normally pulled in to the physical appearance of the individual what their identity is associated with. Therefore, they may wind up seeing someone having thought of the outcomes of their activities. This builds the chance of somebody being engaged with numerous connections with no genuine tendency to the individuals in question (Barlow 2009, p. 61). To a lady including me, dating is seen to be something that is touchy and doing it online is seen to be an indication of edginess. I feel that dating on the web is a demonstration of how urgent somebody is, and thus, women keep off the web based dating regardless of whether they are edgy in all actuality. This restricts the quantity of ladies engaged with web based dating. When contrasted with different places, for example, a bar, I see it as an increasingly advantageous method of finding a beau inasmuch as the two players share comparable destinations and interests. Then again, research did by Cornell University has indicated that most ladies accept that the individuals who date online do that just for entertainment only. I for one find web based dating incomprehensible and see it as a lie and don't accept that anybody can truly discover genuine affection through the web. Women experience issues in believing somebody they have never met because of the separation and the way that the vast majority of the data about the individual is normally perused on a profile. As per the examination, it is seen that gathering somebody truly makes it a lot simpler to make a security and now the individual than conveying through a content and email. It is additionally accepted that the majority of the men met online are exceptionally malicious or corrupt and in this way might be

My Trip to Disney World free essay sample

Disney World I ate and drank such huge numbers of wonderful treats, for example, Funnel Cakes, Hot mutts, Cotton Candy, Coke Cola, Chocolate Milkshakes and considerably more. As you probably are aware Disney World have a lot of rides, the ride I adored the most was Space Mountain which is an inside thrill ride in obscurity I love crazy rides. We likewise rode on Splash Mountain and The Tower of Terror which I frightened of yet it wound up to be another ride I delighted in riding. It was a heart-exciting ride that made me somewhat anxious, however at long last, I delighted in it. The laser light show was the most delightful thing I at any point seen, it was a twenty brief demonstration of lasers, lights, firecrackers and activity and moving waters. The show likewise comprised of the entirety of the Disney characters and fifty entertainers took an interest in the show. The show is really recounting to a story and obviously Mickey Mouse is the individual telling it with his little wand. We will compose a custom paper test on My Trip to Disney World or on the other hand any comparative theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page The following morning we went to MGM Studios. This park was all film topic offers in the background looks at Hollywood-style activity with live shows, exciting attractions, behind the stage visits and exceptional occasions that just occur in this Disney Park committed to ntertainment. Which I think my instructors delighted in more than the children as a result of the Indiana Jones Epic Stunt Spectacular and they gave them a brief look at up and coming film creations and live shows. The Studio Backlot Tour which took us on an excursion and gave us how certain faculties from motion pictures where really made. We were additionally taken on a Journey through old scene props utilized in Hollywood film creations. What I preferred most about this park was the rides since it resembled I was in the film the ride was all in 3D. The last morning we as a whole woke right on time to get away from the long queues of individuals at the Epcot Center since we were leaving that day. The primary ride we jumped on was Space Ship Earth (the colossal golf ball) it was a delicate ride that took us from the hour of stone age men to future hundreds of years. The Epcot Center spotlight on mechanical progressions, development, we likewise visited the Living Seas. There were models of authentic driving hardware in the line territory. There were additionally huge aquariums loaded up with outlandish tropical fish and astounding ocean plants. We had burned some serious calories from the entirety of the shows, so we chose to eat at the Coral Reef Restaurant. After lunch we started visiting the entirety of the nations in plain view, for example,

Corporate Governance and Ethics Mining of Minerals

Question: Portray about the Corporate Governance and Ethics for Mining of Minerals. Answer: Foundation Of The Company BHP Billiton is an Australian organization related with mining of minerals, metals and oil. As indicated by the market estimations of 2015, it is the universes biggest organization identified with mining and the fourth biggest organization in Australia as for income. Before this report, BHP Billiton was Australias biggest organization as far as the income created by it. The organization was joined in the year 2001 as the aftereffect of a merger between Anglo-Dutch Billiton and Australian Broken Hill Proprietary Company Limited. The piece of the organization, which is enlisted in Australia, is essentially recorded on Australian Securities Exchange. The worldwide home office of BHP Billiton and its Australian enrolled office is arranged in Melbourne, Australia. During the companys progress from the year 2001 the organization has effectively positioned offered and procured authority over a considerable lot of its adversary organizations, for example, petro sell vitality, WMC Resources a nd Rio Tinto Group (Acharya et al. 2013). BHP Billiton works in more than 25 nations around the globe in the market of mining, gas creation, handling and even creation of oil. The organization has more than 41,000 workers on its rundown as on March 2016. The organization had recorded 250 million barrels of oil, 230 measurement tones of ironore, 1.7 Million tons of copper and 40 metric huge amounts of coal (Market Realist 2016). BHP Billiton has a social strategy of giving 1% of its three years normal benefit in programs dependent on network advancement. The organization has additionally made US$ 100 million gift to magnanimous substances. It is one of the 90 organizations, which has been approved to concentrate and market non-renewable energy source on the planet (BHP Billiton, 2016). Rules For The Review With the end goal of the audit of dull execution of BHP Billiton Limited in the ongoing occasions, corporate administration standards and proposals gave by the ASX Corporate Governance Council are utilized. These core values give eight rules for better administration of an association (Council and Exchange 2014). The principal rule is related with establishing a strong framework for the board and keeping reconnaissance over its exercises. It is the obligation of the association to reveal the obligations and job of individuals from the administration advisory group (Hermalin and Weisbach 2012). The subsequent rule gives us that the leading group of the organization must be powerful and its creation concerning size and obligation of appropriately playing out its obligations must be sufficient. As indicated by the third rule, the dynamic done by the organization ought to be moral and sound. The fourth rule for better corporate administration gives that, the revealing of the companys budgetary undertaking must be finished by the organization with care and the organization ought to include a structure inside it to verify and ensure the uprightness of such reports. The fifth core value gives that it is the ethical commitment of the organization to uncover in a reasonable and ideal way, material iss ues identified with the organization. As indicated by the 6th rule, it is the ethical commitment of the organization to ensure the enthusiasm of the investors and offer help for the best possible execution of their privileges. The seventh rule of the code gives that the organization ought to make a strong framework to distinguish and deflect dangers, the executives issues and with the end goal of inward control. The last rule of the code gives that it is the lawful and moral obligation of the organization to pay appropriate and only compensation to the workers as for the exertion given by them towards the organization (Council, 2014). The core values give by The Global Network of Director Institute towards great administration can likewise be considered to audit the exhibition of BHP Billiton constrained . These rules give about great administration regard to hierarchical culture, duties, autonomy of executives, exposure of practices, selection measures, authority, and hazard, relationship with the board, correspondence, advancement and compensation. Both these codes gave by The Global Network of Director Institute and ASX Corporate Governance Council are fundamental to the achievement and development of any associations. The poor administration of BHP Billiton Limited, which is majorly affecting its development, can be inspected and investigated through correlation with these standards and rules. The examination and utilization of these standards to that of the poor administration of BHP Billiton Limited will give a superior image of what is turning out badly in the organization and how it very well may be changed (ArAs 2016). Basic Review Of The Organization As of late BHP Billiton Limited has been in news because of the low number of creation concerning iron metal. The creation of iron metal by the organization has apparently fallen 6% year over year. The creation of copper by the organization additionally fell 6% alongside oil based commodity, which recorded a 15% year over year decrease underway (Bocken et al. 2013). As per the creation report distributed by BHP Billiton, restricted the CEO of the organization Andrew Mackenzie said that the decrease underway is was expected to unbalancing of the market and the creation will improve throughout the following eighteen months. He included that the cost of copper and iron have been more fixed than they had accepted and they will keep on fulfilling the need of the items through their creation. As indicated by the CEOs and the companys official site, everything is going easily for the organization. As a general rule, the future for the organization is distressing and low creation and lower benefits are reflecting it. BHP Billiton Limited has endured lost $6.30 billion until June in the money related year 2016 when contrasted with the benefit of 1.81 billion the organization had made a year prior. Nature in the short term is relied upon to remain hard for the organization in the coming years. The development of the organization is expected to stay low for the remainder of the year moreover. The choice of recording the organizations costly resources in the earlier year likewise hammed the advancement of the organization. BHP Billiton had additionally cautioned the investors that the isolated strategy received by the organization will undoubtedly change because of the poor state of the companys progress. When contrasted with the 124 pennies separated per share given by the organization in the earlier year the organization has this time declared just 30 penny for each offer profits for the investors. The complete obligation upon the organization has additionally expanded 7% when contrasted with the earlier year and has ascended to $26.1 billion (Drexler,Black and Sparks 2015). These baffling outcomes by the organization propose that there are numerous inside issues inside the organization, which are pounding its development (Wintoki, Linck and Netter 2012). The executives of the organization are not acting capably towards the administration of the drawn out achievement of the organization and are being unequipped for tending to the requirements for the companys appropriate development. The constitution of BHP Billiton Limited accommodates the freedom of chiefs while taking choices. Be that as it may, the choices taken by the executives of BHP Billiton Limited isn't looking persuading and its appears as though they are aggregately taking incorrectly choices which are influencing the development and progress of the organization. As per the standards and rules examined over, the advancement of the organization must be accomplished if the executives of the organization take free right choices without impact for some other source (Joseph, Ocasio and McDonnell 2 014). The prima faice perspective on the records gave by the organization through its official site recommends that the organization has all regions identified with policymaking and quality of the supervisory crew secured. In any case, an in dept examination of the arrangement of the administration board of trustees of BHP Billiton Limited gives the view that the administration of the organization isn't gifted and skilled enough to help the development of the organization in conditions which are not in favor . The corporate administration rules give that the organization should have a successful supervisory group and the piece of the board ought to be sufficient to deal with the undertakings of the organization effectively and adequately (Nini, Smith and Sufi 2012). The designation methodology for the governing body of an organization needs to clear and straightforward to dispose of the presence of any exploitative demonstration concerning assignments. On paper the assignment and arrangement of chief approaches of BHP Billiton Limited is clear and straightforward. Be that as it may, by and by, such standards are infrequently trailed by the organization and the consequence of such dishonest acts are thinking about the advancement and development of the organization. These standards not just assistance to help the development of business yet in addition keep up a feeling of straightforwardness in the organization, which makes the investors, and financial specialists have a sense of safety (McCahery, Sautner and Starks 2016). The choices taken by the chiefs of the organization ought to be founded on exact data and economic situations; they ought to approach fitting and bona fide data about the market and ought to be sufficiently gifted to comprehend its conditions. The choices taken by the chiefs of BHP Billiton constrained isn't ending up being sufficient and supported enough to improve the current circumstance in the organization. The mining market is hitting a new depressed spot each week and the executives of BHP Billiton Limited are not having the option to adapt of to the issue state of the market. This failure to fix the issue is by the chiefs is in the long run thinking about the terrible showing of the organization (Tricker 2015). The board ought to know about when to face challenge and when to play safe. The given economic situation of the mining and oil advertise doesn't take into consideration chance, the market is so unc

Free Essays on HEROISM-DAD

At the point when I hear the word legend, the main individual who rings a bell is my dad, Raymond Mathers. He characterizes all aspects of the word â€Å"hero†. He is a decent dad and a devoted instructor of life. He spared his own life, and mine. My dad has defeated an endless number of hindrances. Raymond Ledoux was conceived in New Bedford, Massachusetts on August 17, 1950. At the point when his secondary school years were reaching a conclusion, awful groups acquainted him with a wide range of medications and liquor. This began a terrible starting to a lengthy, difficult experience of battles. Albeit New Bedford is the â€Å"heroin capital† of New England, the enthusiasm of substance began in a visit to Florida. Coke, maryjane, heroin, liquor and cigarettes were all indecencies in my father’s life. A coke bargain in Ft. Lauderdale is the sentimental story of how my folks met one another. Looking past the entirety of the negative angles taking up there lives; they were enamored and needed to begin a family. At the age of thirty-eight, Ray had an infant young lady that passes by the name of Jamie-Rae Ledoux. Our family moved back to New England and my folks were hoping to fix there lives for there child and themselves. My dad at long last understood that remaining with my mom was making the procedure longer and increasingly troublesome so he left with every positive aim. When living all alone, he vanquished every negative behavior pattern all alone. He quit drinking, smoking cigarettes, and all medication use; including the methadone he was on which should help stop the medication and liquor addictions themselves. There were no AA gatherings, tranquilize guiding, or nicotine patches; he quit each dependence with his own self control. Meanwhile I was living with my mother, who was all the while manhandling liquor and medications. My dad knew it wasn’t anything a kid expected to understanding. He needed me to experience childhood in a sheltered, cherishing, and without substance home. Subsequently, he purchased a house and removed me from the negative condition my mom gave. I ... Free Essays on HEROISM-DAD Free Essays on HEROISM-DAD At the point when I hear the word legend, the principal individual who strikes a chord is my dad, Raymond Mathers. He characterizes all aspects of the word â€Å"hero†. He is a decent dad and a committed instructor of life. He spared his own life, and mine. My dad has defeated an incalculable number of deterrents. Raymond Ledoux was conceived in New Bedford, Massachusetts on August 17, 1950. At the point when his secondary school years were reaching a conclusion, terrible groups acquainted him with a wide range of medications and liquor. This began an unpleasant starting to a lengthy, difficult experience of battles. Albeit New Bedford is the â€Å"heroin capital† of New England, the enthusiasm of substance began in a visit to Florida. Coke, cannabis, heroin, liquor and cigarettes were all indecencies in my father’s life. A coke bargain in Ft. Lauderdale is the sentimental story of how my folks met one another. Looking past the entirety of the negative viewpoints taking up there lives; they were enamored and needed to begin a family. At the age of thirty-eight, Ray had an infant young lady that passes by the name of Jamie-Rae Ledoux. Our family moved back to New England and my folks were hoping to fix there lives for there infant and themselves. My dad at last understood that remaining with my mom was making the procedure longer and increasingly troublesome so he left with every single positive aim. When living all alone, he crushed every unfortunate propensity all alone. He quit drinking, smoking cigarettes, and all medication use; including the methadone he was on which should help stop the medication and liquor addictions themselves. There were no AA gatherings, tranquilize directing, or nicotine patches; he quit each dependence with his own self discipline. Meanwhile I was living with my mother, who was all the while manhandling liquor and medications. My dad knew it wasn’t anything a kid expected to understanding. He needed me to experience childhood in a protected, cherishing, and sans substance home. Subsequently, he purchased a house and removed me from the negative condition my mom gave. I ...

Niger country Research Paper Example | Topics and Well Written Essays - 2000 words

Niger nation - Research Paper Example Enormous abandons spread the North of the nation. A little more than three fourths of its territory is secured by the Sahara desert. The territory is to a great extent made up of desert fields and sand rises, with level to moving Savannas in the South and slopes in the North. The Southwest of the nation, where the waterway Niger streams, is the main ripe land and is likewise home to the vast majority of its residents. The Niger extends across Western Africa for a length of around 2, 600 miles and is viewed as one of the essential streams in Africa other than the Nile and the Congo. The Geographical design of Niger is twice as additional as that of California and involves blended territory in with focal slopes and levels that consolidate themselves into broad swamps with fields in the North and mountains in the Southwest. Every locale encounters its own atmosphere. The North is a progressively parched locale, while the focal point of Niger encounters a tropical sort of atmosphere, and the South an increasingly Equatorial atmosphere. This happens on the grounds that the African landmass is amazingly immense. The Atlantic Ocean at 0m is viewed as the absolute bottom, while the most noteworthy point is taken to be Chappal Waddi which ascends to a tallness of 2, 419m through which runs Africa’s most renowned stream, the Niger. ... The number of inhabitants in Niger is dominatingly Islamic and is dispersed generally between the West and the most distant South of the nation, essentially in light of the fact that that is the main inhabitable land mass because of the nearness of the waterway Niger and the vegetation, fauna and rich land encompassing it. The individuals are for the most part descendents of the itinerant Tuaregs, who were the primary occupants of the Sahara district, trailed by the Hausa from the fourteenth century, the Zerma from the seventeenth century, the Gobir from the eighteenth century and the Fulani from the nineteenth century. Niamey is the capital city and is situated in the far-southwest corner. The nation was fused into French West Africa in 1896. At that point, the nation was in a condition of apparently interminable strife, yet once concordance was reestablished, the French made the zone its province in 1922.The French constitution was embraced through submission in 1959 that made it a self-sufficient republic with the French people group. Right up 'til the present time, the nation is confronted with genuine social, regular and political issues. There is monetary shakiness as nature isn’t too positive creation the nation, its kin and economy helpless against dry season every once in a while, with the consistent danger of insect invasion. Added to this, is political unsteadiness emerging from steady contact between the regular citizen ideological groups and the military and internecine wars among different clans. U.S. Movement: The African Experience People of African drop in the United States, until the mid twentieth century, were not considered as a component of America’s transient convention truly. This perplexing actuality of American culture gets from the transoceanic slave exchange between the

2019 Freshman Wait List - UGA Undergraduate Admissions

2019 Freshman Wait List - UGA Undergraduate Admissions 2019 Freshman Wait List We plan to make the final wave of freshman decisions available today, March 15th, in the late afternoon timeframe. For some students, you will be offered a place on our wait list. Every year our office has to predict approximately how many students we can admit in order to enroll our freshman class, but we can never be sure how many students will enroll until after the May 1 commitment deposit deadline has passed. If the number of students who say they will be attending UGA is lower than we expect, we may need to go to our wait list group in order to get the size that we want for our freshman class. This year we have 1,542 students on the wait list. We carefully monitor the deposits coming into the University to see where we are in comparison to the predicted freshman numbers. The FAQ can answer information on Wait List numbers, past year Wait List data, and other details (such as no, the Wait List is not ranked). For those of you who have been wait-listed, here is a chance for you to ask questions. Please remember that this is not a blog where you should post statistics or throw fellow classmates under the bus. These types of comments will be deleted.Before commenting/asking questions here, please review the decision letter and the FAQ, as they give a great deal of details of the Wait List process. TheWait List FAQcan answer some questions, but the most important thing you need to do is decide if you want to remain on the wait list. Follow the instructions on the status check to let us know if you want to stay on the wait list or if you want to decline this option and move forward with admission at another college. If you decide to stay on the wait list, you should still move forward with an alternate college plan as we will not know about any wait list options until May at the earliest. If you select to stay on the wait list, we will know that you still want to attend UGA if an opportunity opens up. The key word in wait list is wait as this is not a quick process. So please be prepared to wait. There are three options for the wait list reply. You can say no, please do not consider me for the wait list. The next option is to remain on the wait list, but only if it is for the Fall term. The third option is to remain on the wait list and be considered for both Fall and Spring terms. This is so that if there is space available for the Fall term, we will look at all of the students who have asked to remain on the wait list. If the only space available is for Spring term, we will only look at students who said Fall or Spring. Once you select an option, you cannot change it so be sure to think about your decision before you make your selection. Things to Remember: UGA does not use the GPA from a HS transcript, but instead we calculate our own HS GPA based on core academic courses. For our admitted freshman, roughly 88% of their core grades were As, and 11.5% were Bs. In our holistic review, we also look at grade trends to see how a student has progressed through their HS years. UGA looks closely at academic rigor, specifically what a student will take over four years as compared to what is available. This is not based simply on the number of AP/IB/DE courses, but instead we look at the overall coursework over four years in the five core areas and the progression of rigor over those four years. When we are looking at activities in the holistic review (clubs, sports, pt work, artistic activities, etc.), we are looking at depth and time commitment in these areas in addition to the actual organizations. We will most likely not know details about the wait list until after early May, and it may be well well into June before we make wait list decisions. Please be patient with our office and read the FAQ before asking questions as it can give you a great deal of information. If you do not feel like you can wait until mid-May through mid-June for a decision, it may be that the wait list option is not for you.

PANCE and PANRE

Cardiology Trial Exam Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Congratulations - you have completed Cardiology Trial Exam. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% %%FORM%% Have Your Exam Results Emailed to You Enter your name and email address below to have your results as well as the test questions, your answers and the correct answers delivered to your inbox. Name First Last Email mTouch Quiz Populated FieldsmTouch Quiz will automatically populate the fields below. Feel Free to add additional fields for the Quiz Taker to complete using the "Add Fields" options to the right.Quiz NameThe name of the quizResults SummaryScoreThe number of correct answers. 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This iframe contains the logic required to handle Ajax powered Gravity Forms. jQuery(document).ready(function($){gformInitSpinner( 7, 'https://www.thepalife.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery('#gform_ajax_frame_7').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_7');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_7').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_7').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_7').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_7').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_7').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_7').val();gformInitSpinner( 7, 'https://www.thepalife.com/wp-content/plugins/gravityforms/images/spinner.gif' );jQuery(document).trigger('gform_page_loaded', [7, current_page]);window['gf_submitting_7'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_7').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_7').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [7]);window['gf_submitting_7'] = false;}, 50);}else{jQuery('#gform_7').append(contents);if(window['gformRedirect']) {gform Redirect();}}jQuery(document).trigger('gform_post_render', [7, current_page]);} );} ); jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 7) {} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} ); jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [7, 1]) } ); Your answers are highlighted below. Question 1A 36 year-old male complains of occasional episodes of "heart fluttering". The patient describes these episodes as frequent, short-lived and episodic. He denies any associated chest pain. Based on this information, which one of the following tests would be the most appropriate to order?AHolter monitorBCardiac catheterization Hint: See answer for explanationCStress testing Hint: See answer for explanationDCardiac nuclear scanningHint: See answer for explanationQuestion 1 Explanation: Holter monitoring is a non-invasive test done to obtain a continuous monitoring of the electrical activity of the heart. This can help to detect cardiac rhythm disturbances that can correlate with the patient symptoms. Cardiac catheterization is an invasive procedure done to assess coronary artery disease. Stress testing and cardiac nuclear scanning are non-invasive testing maneuvers done to assess coronary artery disease.Question 2A patient with a mitral valve replacement was placed post-operat ively on warfarin (Coumadin) for anticoagulation prophylaxis. To monitor this drug for its effectiveness, what test would be used?APTTHint: PTT is a reflection of the intrinsic clotting system and is used to monitor heparin administration.BPT-INRCPlatelet aggregation Hint: Platelet aggregation tests are utilized to assess platelet dysfunction.DBleeding timeHint: Bleeding time is used to assess platelet function.Question 2 Explanation: PT-INR is a reflection of the extrinsic and common pathway clotting system. Coumadin interferes with Vitamin K synthesis which is needed in the manufacture of factors II, VII, IX, X which are part of the extrinsic clotting pathway.Question 3A 64 year-old male, with a long history of COPD, presents with increasing fatigue over the last three months. The patient has stopped playing golf and also complains of decreased appetite, chronic cough and a bloated feeling. Physical examination reveals distant heart sounds, questionable gallop, lungs with decrease d breath sounds at lung bases and the abdomen reveals RUQ tenderness with the liver two finger-breadths below the costal margin, the extremities show 2+/4+ pitting edema. Labs reveal the serum creatinine level 1.6 mg/dl, BUN 42 mg/dl, liver function test's mildly elevated and the CBC to be normal. Which of the following is the most likely diagnosis?ARight ventricular failure BPericarditisHint: See answer for explanationCExacerbation of COPDHint: See answer for explanationDCirrhosisHint: See answer for explanationQuestion 3 Explanation: Signs of right ventricular failure are fluid retention i.e. edema, hepatic congestion and possibly ascites.Question 4A 56 year-old male with a known history of polycythemia suddenly complains of pain and paresthesia in the left leg. Physical examination reveals the left leg is cool to the touch and the toes are cyanotic. The popliteal pulse is absent by palpation and Doppler. The femoral pulse is absent by palpation but weak with Doppler. The right le g and upper extremities has 2+/4+ pulses throughout. Given these findings what is the most likely diagnosis?AVenous thrombosisHint: Venous occlusion does not result in loss of arterial pulse.BArterial thrombosisCThromboangiitis obliterans Hint: See answer for explanationDThrombophlebitisHint: Thrombophlebitis does not result in loss of arterial pulse.Question 4 Explanation: Arterial thrombosis has occurred and is evidenced by the loss of the popliteal and dorsalis pedis pulse. This is a surgical emergency. Venous occlusion and thrombophlebitis do not result in loss of arterial pulse.Question 5A 48 year-old male with a known history of hypertension is brought to the ED complaining of headache, general malaise, nausea and vomiting. The patient currently takes nifedipine (Procardia)90mg XL every day and atenolol (Tenormin) 50 mg every day. Vital signs reveal temperature 98.6Â °F, pulse 72/minute, respiratory rate 20/minute, and the blood pressure is 168/120 mmHg. BP reading taken ever y 15 minutes from the time of admission reveal the systolic to run from 176 to 186 mmHg and the diastolic to run from 135 to 150 mmHg. Physical examination reveals papilledema bilaterally. There are no renal bruits noted. The EKG is normal. Based upon this presentation, what is the most likely diagnosis?AMeningitisHint: See answer for explanationBSecondary hypertension Hint: See answer for explanationCPseudotumor cerebriHint: Pseudotumor cerebri presents with papilledema, but not hypertension and is more common in young females.DMalignant hypertensionQuestion 5 Explanation: Malignant HTN is characterized by diastolic reading greater than 140 mm Hg with evidence of target organ damage.Question 6A 55 year-old male is seen in follow-up for a complaint of chest pain. Patient states that he has had this chest pain for about one year now. The patient further states that the pain is retrosternal with radiation to the jaw. "It feels as though a tightness, or heaviness is on and around my ch est". This pain seems to come on with exertion however, over the past two weeks he has noticed that he has episodes while at rest. If the patient remains non- active the pain usually resolves in 15-20 minutes. Patient has a 60-pack year smoking history and drinks a martini daily at lunch. Patient appears overweight on inspection. Based upon this history what is the most likely diagnosis?AAcute myocardial infarction Hint: Pain does not resolve in an acute MI, it gradually gets worse.BPrinzmetal variant angina Hint: Pain typically occurs at rest is one of the hallmarks of Prinzmetal variant angina. This patient has just started to develop pain at rest.CStable anginaHint: Pain in stable angina is relieved with rest and usually resolves within 10 minutes. angina does not have pain at rest.DUnstable anginaQuestion 6 Explanation: Pain in unstable angina is precipitated by less effort than before or occurs at rest.Question 7An unresponsive patient is brought to the ED by ambulance. He is i n ventricular tachycardia with a heart rate of 210 beats/min and a blood pressure of 70/40 mmHg. The first step in treatment is to...AAdminister IV adenosine. Hint: Adenosine is used to treat PSVT.BDC cardiovert.CAdminister IV lidocaine. Hint: See answer for explanationDApply overdrive pacer.Hint: Overdrive pacing is indicated in Torsades de Pointes.Question 7 Explanation: The first step in treatment of unstable ventricular tachycardia with a pulse is to cardiovert using a 100 J countershock.Question 8Which of the following beta-adrenergic blocking agents has cardioselectivity for primarily blocking beta-1 receptors?APropranolol (Inderal) Hint: Propranolol and timolol are nonselective beta-adrenergic antagonists. BTimolol (Blocadren)Hint: Propranolol and timolol are nonselective beta-adrenergic antagonists. CMetoprolol (Lopressor) DPindolol (Visken)Hint: Pindolol is an antagonist with partial agonist activity.Question 8 Explanation: Metoprolol is selective for beta-1 antagonistsQues tion 9A 23 year-old female with history of palpitations presents for evaluation. She admits to acute onset of rapid heart beating lasting seconds to minutes with associated shortness of breath and chest pain. The patient states she can relieve her symptoms with valsalva. Which of the following is the most appropriate diagnostic study to establish a definitive diagnosis in this patient?ACardiac catheterization Hint: Cardiac catheterization evaluates coronary arteries but has no role in the diagnosis of supraventricular tachycardiaBCardiac MRIHint: Cardiac MRI cannot diagnose and define pathway of supraventricular tachycardia.CChest CT scanHint: Chest CT scan will not establish definitive diagnosis of supraventricular tachycardia.DElectrophysiology studyQuestion 9 Explanation: Electrophysiology study is useful in establishing the diagnosis and pathway of complex arrhythmias such as supraventricular tachycardiaQuestion 10Which of the following ECG findings is consistent with hyperkalemia?Aprolonged QT interval Hint: Prolonged QT interval is seen in hypocalcemia.Bdelta waveHint: Delta wave is a sign of ventricular preexcitation seen in Wolf-Parkinson-White (WPW) Syndrome. Cpeaked T wavesDprominent U wavesHint: Prominent U waves are a sign of prolonged ventricular repolarization seen in hypokalemia.Question 10 Explanation: Narrowing and peaking of T waves are the beginning EKG changes associated with hyperkalemia. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 10 questions to complete. List Return Shaded items are complete. 12345678910End Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! 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