A 76-year-old resident of an assisted living facility who has a history of heart failure has presented to her primary care provider for a scheduled appointment. Which of the woman's statements suggests that her heart failure is worsening?

A. "I find that I have to wake up two or three times a night to go to the washroom, which never used to be the case."
B. "I find that my appetite is not what it used to be, and I have to will myself to eat enough healthy food."
C. "I pride myself in staying alert and up-to-date but lately I've forgotten a few important events."
D. "The last few weeks I've found that I'm more comfortable sleeping in a chair than in my bed."

Which of the following processes within viral replication is the greatest source of genetic variation in rna virus populations? a) high mutation rate due to lack of proofreading of rna genome replication errors.b) transcription from the host cell rna polymerase introduces numerous mutations.c) capsid proteins from the host cell can replace the viral capsid.d) viral rna is translated by host cell ribosomes.

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy

The effect of alcohol varies from one person to another, mostly because it depends on the blood alcohol concentration, or bac. what does blood alcohol concentration not depend on? a. amount of food in the stomach b. gender and size of the drinker c. rate of consumption d. time of drinking