A 65-Year-Old Man Comes to the Emergency Department Due to Acute-Onset

question 610

Multiple Choice

A 65-year-old man comes to the emergency department due to acute-onset, severe right flank pain; nausea; and vomiting for the past hour.  His medical conditions include prostate cancer and membranous nephropathy.  Blood pressure is 148/60 mm Hg and pulse is 95/min.  On physical examination, the patient appears to be in moderate distress due to pain and is diaphoretic.  There is right costovertebral angle tenderness.  Urinalysis shows hematuria.  Contrast-enhanced CT scan reveals a wedge-shaped perfusion defect in the right kidney.  The affected renal tissue is most likely to develop which of the following histologic changes over the next several days?

• A)Caseous necrosis
• B)Coagulative necrosis
• C)Fat necrosis
• D)Fibrinoid necrosis
• E)Liquefactive necrosis
• F)Tissue calcification

Recognize the importance of developmental plasticity and the role of experience in shaping brain development.

Describe the central nervous system's structure and its major sections.

Acknowledge the impact of sensory impairments on brain development.

Understand the developmental importance of over-supply of synapses and its relation to learning.

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Definitions:

Gluteal Stretch

A specific physical exercise aimed at increasing the flexibility and range of motion of the gluteal muscles in the buttocks.

Modified Hurdler's Stretch

A stretching exercise aimed at improving flexibility in the hamstrings and lower back, with one leg extended out and the other bent inward.

Standing Quad Stretch

A physical exercise that involves standing on one leg and pulling the other foot towards the buttocks to stretch the quadriceps muscles of the thigh.

Standing Side Lunge Stretch

A physical exercise where one stands and lunges to the side to stretch the inner thighs and groin area.