A 25-Year-Old Man Comes to the Office for Evaluation of Facial

question 566

Multiple Choice

A 25-year-old man comes to the office for evaluation of facial acne.  He has no significant past medical history and does not use tobacco or alcohol.  The patient works as a personal trainer.  His family history is significant for diabetes mellitus in his mother and leukemia in his father.  His blood pressure is 134/82 mm Hg and pulse is 58/min.  On physical examination, there is mild facial acne.  The patient's lungs are clear to auscultation.  The liver span is 8 cm, and the spleen is not palpable.  His testes are soft, and testicular volume is decreased.  Laboratory results are as follows: Which of the following is the most likely explanation for this patient's abnormal laboratory findings?

• A)High oxygen affinity hemoglobin
• B)Intensive exercise schedule
• C)Myeloproliferative disorder
• D)Renal artery stenosis
• E)Steroid drug abuse
• F)Volume depletion due to excessive sweating

Understand the legal remedies available for breach of contract, including specific performance and damages.

Appreciate the concept of tender in fulfilling contractual obligations.

Distinguish between express, implied, and conditional contracts and their enforcement.

Understand how contractual obligations can be discharged by performance, operation of law, or other conditions.

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Definitions:

Medulla

Part of the brainstem involved in controlling involuntary functions such as breathing, heart rate, and blood pressure.

Brain Stem

The part of the brain connecting the spinal cord to the forebrain and cerebrum, controlling basic life functions like breathing and heart rate.

Heart Rate

The number of heartbeats per unit of time, typically expressed as beats per minute (BPM).

Endorphins

Natural chemicals in the body that interact with the brain's receptors to reduce pain and boost happiness, often referred to as the body's natural painkillers.