Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months for which he takes Tums with temporary relief.
He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
a. The pain seems better when he smokes to relieve his nerves.
b. Coffee and fried foods do not bother him.
c. He awakens at night coughing with a bad taste in his mouth.
d. All of the above
Question 2
A patient with complaints of diarrhea is seen. Which of the following should be included on the differential diagnosis list for a patient with diarrhea?
a. Gastroenteritis c. Lactase deficiency
b. Inflammatory bowel disease d. All of the above
Tall Bellflower
The skullcap from Trinil, Java is the type specimen for H. erectus and is about 900,000 years old.
Beak size in finches during dry years increases because of strong selection
Earth 340 Million Years Ago
Earth 240 Million Years Ago