Individuals with avoidant and anxious attachment styles, also known as narcissists and co-dependents, often find each other and form unstable relationships. In this forum, define the notions of narcis
Which learner thrives in an environment with a practical-based laboratory or hands-on activities? ANSWER: auditory/verbal visual/verbal tactile/kinesthetic visual/nonverbal Chapter 1 Reading Question 9 Part A Homeostasis is defined as __________. ANSWER: the ability of the body to respond to external stimuli the relationship between structure and function the chemical processes that take place inside the body the maintenance of a stable internal environment Chapter 1 Running Case: Is Heartburn Dangerous? Kenji Oshima (called KO) is a 58-year-old man who has not been to the doctor’s office for many years, which is not uncommon for men his age. He has insurance provided by his employer, but he hasn’t used it because he hasn’t been sick. Unfortunately, over the last eight months this has changed. In this period KO inexplicably has lost almost 20 pounds, and has regular episodes of heartburn. He frequently becomes short of breath and nauseated, which is followed by frightening episodes where he feels feverish and sweaty. He finally decided, with pressure from his wife and daughter, that he needed a full checkup.After KO filled out a medical history questionnaire in the waiting area, it didn’t take too long for him to be called back to an examination room. The medical assistant took KO’s vital signs (blood pressure, temperature, heart rate, and respiratory rate) and measured his height and weight, and then ushered him into a small examination room. KO was given a gown to wear and instructed to disrobe completely under the gown, and then to have a seat on the exam table. Miss Young, ARNP, introduced herself as the nurse practitioner who would be asking KO many questions in addition to those on the questionnaire. She said she would also be performing the physical portion of his exam. Ms. Young noticed that KO’s father had died of gastric cancer at the age of 64.When KO asked if he was supposed to see a doctor or a nurse practitioner, Ms. Young explained her role in the family practice medical group, something she explained regularly to new patients. KO wasn’t that familiar with the changes in healthcare and the types of providers that were practicing these days. He admitted that he was nervous about the appointment in general and meant no disrespect, but he was curious about Ms. Young’s qualifications and her educational background. Seeing KO’s apprehension, Ms. Young encouraged him to ask questions about anything that he felt would put his mind at ease.It is critical to develop a rapport with a new patient that is built on mutual respect and trust. This is the foundation that allows a healthcare provider to ask for and collect sensitive information that patients are sometimes unwilling to discuss even with close family members. In this same way, the study of anatomy and physiology is an important educational foundation to which aspiring healthcare providers must commit themselves. Without a solid foundation, the obligation to lifelong learning that all professions within the healthcare field advocate is a hollow oath. Part A – Module 1.2 Overview of Anatomy and Physiology The history and physical examination is a detailed process that attempts to establish a connection between the information provided by the patient about their health and lifestyle with the physical findings from the inspection of each of the eleven body systems. Which of KO’s symptoms is paired incorrectly with the body system that might produce that symptom? ANSWER: Shortness of breath; respiratory system. Feeling feverish; urinary system. Heartburn; digestive system. Sweating; integumentary system. Part B – Module 1.3 The Language of Anatomy and Physiology Ms. Young began her examination by asking KO what his main reason was for making the appointment. KO stated that his wife and daughter had been concerned after he had lost some weight without trying over a few months. He was less concerned about the weight loss than he was about the fact that he had terrible heartburn and even stomach pain, especially after eating. He had tried over-the-counter remedies with some success, but lately they weren’t working as well. Lastly, he described the episodes where he had trouble catching his breath, followed by nausea and hot flashes.Ms. Young began the physical exam by examining his head and neck. She used the ophthalmoscope to look into KO’s eyes and to inspect his mouth. The otoscope was used to examine his ears. Ms. Young used her well-trained sense of touch to palpate the cervical region for any abnormalities such as an enlarged thyroid gland, the presence of enlarged lymph nodes, or any unusual lumps or masses.Ms. Young continued her examination of KO’s surface anatomy and moved to somewhat deeper, but palpable anatomy. She inspected the surface anatomy by moving inferiorly from the head and neck to the thorax and then abdomen. Ms. Young palpated each quadrant of the abdomen, and then assessed deeper structures by percussion, in which she forcefully tapped on the overlying surface and listened to the sound produced. Deeper palpation in the left upper quadrant of the abdomen elicited a grunt of pain from KO. She made a notation of this response in KO’s chart and continued the examination.The nurse practitioner then inspected each of KO’s upper limbs, starting at the shoulder and moving distally to the fingertips. She repeated this procedure moving from the hips to the toes. As she did this, she inspected the surface anatomy, assessed muscle strength, and tested skeletal muscle reflexes.After each body region was examined, Ms. Young documented her findings. This was a systematic examination that she had performed numerous times. KO, impressed with Ms. Young’s professionalism, commented on how efficiently she worked her way through the exam process. She replied that she had been trained to perform H and Ps the same way, in the same order every time, to ensure that nothing would be overlooked.Finding a diagnosis for KO’s heartburn and stomach pain may require additional procedures such as a CT scan. . Which of the following planes of section would provide an anterior view of the entire length of the esophagus? ANSWER: The horizontal (transverse) plane. The frontal (coronal) plane. The parasagittal plane. The midsagittal plane. Part C – Module 1.4 The Organization of Anatomy and Physiology KO’s history of unexplained weight loss, palpable left upper quadrant pain, stomach pain made worse by eating, and persistent heartburn were concerning. The nausea could be associated with heartburn, but periodic hot flashes and shortness of breath were out of context with these mostly gastrointestinal symptoms. Ms. Young thought they were all related, but KO’s Japanese heritage and the fact that his father had died from stomach cancer made the decision to refer KO to a gastroenterologist (a specialist of the gastrointestinal system) simple.Ms. Young discussed her concerns with KO, and then sent him for several blood tests that the gastroenterologist would want prior to seeing KO.If KO is diagnosed with stomach cancer, surgery might be required. When making an incision through the wall of the stomach, which portion of the serous membrane is the surgeon cutting through? ANSWER: Parietal peritoneum. Parietal pericardium. Visceral pleura. Visceral peritoneum. Chapter 1 Chapter Test Question 1 Part A The core concepts and relating principles you should come to understand in each module are called __________. ANSWER: Flashback questions Quick Check questions Concept Boosts Learning Outcomes MyReadinessTest for A&P Video Tutor: Cause & Effect Watch the video tutor about cause and effect, then read the scenario and then answer the questions. John is having a really bad day. The temperature was very pleasant last night, so he slept with his window open to enjoy the fresh air. He had a headache when he got up this morning because of his chronic sinus problems, worsened of late by a high pollen count. That pounding headache sure didn’t help his concentration at school this morning when he administered a lab practical exam to his A&P students. At one point, he almost thought they had worked out some new way to cheat—there seemed to be a symphony of sneezes and sniffles during the exam. Allergies or the latest cold that everyone is spreading back and forth? John didn’t worry about it—his sinuses were already blocked so how much worse could it get? Finally, the exam was over, and he thought maybe some food would make him feel better. The school cafeteria was closed by the time he headed off for a late lunch, so he headed to the local deli and ordered an egg salad sandwich, macaroni salad, a bag of chips, and a soda. While he waited for his food, he headed to the bathroom to blow his nose so perhaps he could taste his food. He used the toilet since he was there, and noted the sign over the sink instructing all employees to wash their hands before returning to work, as he noticed there was no soap. He rinsed his hands quickly and dried them briefly on the cotton towel hanging by the sink, then unlocked the door and returned to his meal, now realizing he really was quite hungry. As his food arrived, he was reminded that it was late in the day—the egg salad and macaroni salad had dried a bit on top and were barely cooler than room temperature. He wolfed down his food, returned to work for a few hours, then headed home. Now at home, with dinner time approaching, he is not hungry at all. In fact, he doesn’t even want to think about food! His stomach is churning and he keeps burping a taste of stale egg salad. Then it hits him—a powerful wave of nausea—and he bolts for the bathroom just in time to regurgitate his lunch. “Oh,” he thought to himself, “It’s going to be a VERY long night!” Part A Based on this passage, which of the following is the most likely cause of John’s headache in the morning? ANSWER: Bad egg salad Sinus congestion caused by his allergies. He had already caught a cold from his students. The temperature was too low in his room because his window was open. Part B Based on the passage, which of the following is the least likely cause of John’s vomiting? ANSWER: Bad egg salad Conditions in the bathroom His headache Bad macaroni salad True/False Question 1.61 Part A When studying, you should actively read the textbook by taking notes and making diagrams. ANSWER: True False Art-based Question Chapter 1 Question 1 Part A Which major structural level of organization is missing from the figure? ANSWER: chemical level organism level cellular level tissue level Multiple Choice Question 1.10 Part A What characteristic of life involves the removal of waste products that result from metabolic processes? ANSWER: irritability growth reproduction excretion True/False Question 1.63 Part A The simplest level of organization in the human body is the cellular level. ANSWER: True False Chapter 1 Chapter Test Question 5 Part A The cephalic region is __________ to the gluteal region. ANSWER: superior proximal caudal inferior Matching Question 1.71 – 75 Match the following with the correct regional anatomical term. Part A Identify the thoracic region. ANSWER: C A B E D Part B Identify the vertebral region. ANSWER: D B E A C Part C Identify the cephalic region. ANSWER: E D A C B Part D Identify the popliteal region. ANSWER: D C E A B Part E Identify the gluteal region. ANSWER: B C D E A Multiple Choice Question 1.20 Part A When we imagine a person exhibiting anatomical position, the palms of the hands are assumed to be facing: ANSWER: to the side. down. backward. forward. True/False Question 1.65 Part A Patients are always examined while they are standing in anatomical position. ANSWER: True False Art-based Question Chapter 1 Question 4 Part A ANSWER: The arrow points to the __________. umbilical region epigastric region hypogastric region hypochondriac region Chapter 1 Chapter Test Question 8 Part A Which of the following abdominopelvic regions will overlap with the left lower quadrant (LLQ)? ANSWER: right hypochondriac region left iliac region right lumbar region left hypochondriac region Matching Question 1.76 – 80 Match the following with the correct body cavity or subdivision. Part A Identify the thoracic cavity. ANSWER: C A B E D Part B Identify the abdominopelvic cavity. ANSWER: E D A C B Part C Identify the subdivision of the thoracic cavity where the left lung is housed. ANSWER: A D B E C Part D Identify the mediastinum. ANSWER: E A D C B Part E Identify the subdivision of the thoracic cavity that houses the heart. ANSWER: C A B E D Multiple Choice Question 1.35 Part A What are the two subcavities of the dorsal body cavity? ANSWER: thoracic and abdominopelvic cavities pleural and pericardial cavities abdominal and pelvic cavities cranial and vertebral (spinal) cavities True/False Question 1.68 Part A Serous fluid lubricates around organs and reduces friction as the organ moves against adjacent structures. ANSWER: True False MyReadinessTest for A&P Video Tutor: Accountability Watch the video tutor about accountability, and then answer the question. Part A You have a child who attends daycare while you attend classes. Just before class, you are notified that your child has a slight fever and appears fine otherwise, but must be picked up because of the fever. Which of the following is your best solution? ANSWER: Contact your prearranged backup person so that she or he can pick up and take care of your child until you are out of class. Leave a voicemail for your instructor asking him or her to call and let you know if they did anything important in class. Pick up your child and then email a classmate to see what they did in class. Miss class and read up a bit before the next class so hopefully you will be ready. Art-based Question Chapter 1 Question 6 Part A This figure represents a negative feedback loop that controls the temperature of a room. What is the thermometer? ANSWER: control center receptor effector regulated variable Multiple Choice Question 1.24 Part A A directional term that means the same as posterior is: ANSWER: anterior. dorsal. ventral. sagittal. True/False Question 1.69 Part A Negative feedback loops produce responses in the opposite direction of the initial stimulus while positive feedback loops produce responses in the same direction of the initial stimulus. ANSWER: True False