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Morphine mostly undergoes phase II metabolism and is then excreted renally. Some of the metabolites are metabolically active, and her creatinine was a little elevated, so renal clearance could have been impaired.
because raising the arm above the shoulder suggests abduction which would mean the axillary nerve is also involved. the lesion would be more proximal.
I thought "up to the shoulder" is done by deltoid muscle (aka axillary nerve) and above is done by trapezius.
as far as i can find, abduction ranges of motion, per first aid are:
0-15° = supraspinatus
15-90° = Deltoid
90° = trapezius
100° (over the head) = serratus anterior
in this question, they are directly telling you its not the serratus (long thoracic), because no option compromises it. Also, trapezius is innervated by cranial nerve XI, which is not a part of the brachial plexus, so, even though its worded weirdly, you can assume they are talking about deltoid disfunction.
so deltoid disfunction (axillary) + radial disfunction = posterior cord
You’re looking at two categorical variables, Caucasian vs. AA and HTN versus normotensive. So you’re still using Chi2 to analyze.
The patient in the stem is pregnant! The question wants to see if you know that doxy is a teratogen. Tetracyclines in general like to bind to fetal bone/teeth which can impair development.
As a side note, treating chlamydia alone only requires macrolides or doxy. Treating gonorrhea alone only requires ceftriaxone or macrolides. The reason sketchy includes all three is because you usually treat one infection and co-treat the other.
Theres a crow in the chlamydia sketchy. You can use Macrolides, OR Ceftriaxone, OR Doxycycline.
Most doctors in real life just give the azithromycin z pack (which kicks ass cause its one drug 5 doses thats it)
Transposition is when a segment of DNA (in this case, coding for resistance) jumps onto a plasmid within the same bacterial cell. That plasmid might then transfer to another nearby bacterial cell via conjugation. Transposition is happening WITHIN the bacterium. Conjugation is how that resistance gene gets transferred.
Also, E. coli is the classic example of a bug tat uses conjugation. ^but explanation above is correct^
I think he might have did what I did. I got Transformation mixed up with transposition. FML
I still can't understand why it can't be transduction. Is it just because of bacterial types?
Yes, I believe so. You have to remember which bacteria have a conjugation pilus - E. coli is the most popular one because of its F sex factor (remember the F+ x F0 thing in FA?)