62 yo woman comes to the physician for a routine health maintenance exam. she feels well. menarche was at the age of 13y, and menopause occurred 19y ago. she has no family hx of breast dz. examination shows a 2x2cm mass in the upper outer quadrant of the l breast. mammography of the l breast shows calcifications in the upper outer quadrant. a biopsy of the breast mass shows invasive estrogen receptor-positive carcinoma with positive margins. which of the following is the most appropriate next step in management? a. observation only
b. cytotoxin and doxorubicin therapy
c. tamoxifen therapy
d. radiation therapy
e. reexcision of the biopsy site

Spherocytosis is an inherited blood disease in which the erythrocytes (red blood cells) are spherical instead of biconcave. this condition is inherited in a dominant fashion, with sph- dominant to sph+. in people with spherocytosis, the spleen "reads" the spherical red blood cells as defective, and it removes them from the bloodstream, leading to anemia. the spleen in different people removes the spherical erythrocytes with different efficiencies. some people with spherical erythrocytes suffer severe anemia and some mild anemia, yet others have spleens that function so poorly there are no symptoms of anemia at all. when 2400 people with the genotype sph- sph+ were examined, it was found that 2250 had anemia of varying severity, but 150 had no symptoms. does this description of people with spherocytosis represent incomplete penetrance, variable expressivity, or both? explain your answer. (3 points)

{20 points} hello. for my p.e. class i need to interview people about at health and wellness. so answer the questions below. interviewee name: age: gender: job: date and time of interview: 1. what are some major health concerns that you have? 2. are there ways that you know you can monitor and prevent these health concerns (or other concerns like obesity)? 3. how do family members influence your health? if you need to find out more about a specific health issue, what do you do? be specific. (don’t let them say “look on the internet”, because we have already learned that not everything on the internet is reliable! they should tell you a specific site if they use the internet as a source.) 4. what do you think is the biggest health concern facing our country? 5. what are some things that you do to monitor your health? 6. how would you get the word out about this major health concern? 7. how do you think the media influences what concerns we have for our health? 8. what are some future goals involving your health and well being? 9. why is it important to monitor your health, specifically to you? 10. and what influences you stay healthy?

Sarah’s friend had been binge drinking and was intoxicated. sarah immediately called 9-1-1