A 55-Year-Old Man Is Evaluated Due to a Nonhealing Left

question 50

Multiple Choice

A 55-year-old man is evaluated due to a nonhealing left forearm wound.  The patient had an excisional biopsy of a suspicious skin lesion at the site of the wound several weeks ago.  He has a history of uncontrolled type 2 diabetes mellitus and hypertension.  Vital signs are within normal limits.  Physical examination shows a 2.5-cm wound surrounded by erythema on the left forearm.  Upregulation of which of the following would most likely improve fibroblast proliferation and reepithelization in this nonhealing wound?

• A)Bradykinin release from endothelial cells
• B)Cortisol release from the adrenal cortex
• C)Glycation cross-links in collagen fibers
• D)Production of IL-10 by macrophages
• E)Release of reactive oxygen species from neutrophils

Identify the levels of self-disclosure as described by John Powell.

Differentiate between short-term initial attraction and long-term maintenance attraction in relationships.

Understand the psychological principles of learned helplessness and depressive behavior.

Identify brain structures and neurotransmitters implicated in learned helplessness and S-R habits formation.

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