Apatient comes into the emergency department. during the physical exam, you note that a clear fluid is leaking from the nose. you notice that this is cerebrospinal fluid. which bone has been likely fractured to allow for leakage?

The skull.

Explanation:

The cerebrospinal fluid is a clear fluid that serves as a nutrient delivey system for the brain, it also removes waste and acts as a cushion surrounding the brain and spinal cord. Its leakage from the nose usually happens when there is a fistula between the dura and the skull base after a trauma. This kind of fractures can lead to meningitis and surgery is needed.

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out of the choices i'd say d the ability to set goals, mainly because to desire to continue you need motivation but it isn't motivation in that part, but setting goals means you have an endgame and you want to reach it which sums up motivation.