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D is a 16 yr old high school student who is in the sportsclinic prior to beginning of baseball practice,has no medicalhistory.Assesment reveals he gets 'winded' earlier than most boyson the team.He attributes this to needing to get in bettershape.The physical exam is unremarkable except for a grade IIIsystolic murmur heard over the entireprecordium.An echocardiogram and cardiac cath reveals aventricular septal defect (VSD) with moderate pulmonaryhypertension.
Q1 A VSD is usually an acyanotic defect. Why is this ?
Q2 What is the mechanism and significance of pulmonaryhypertension?
Q3 What other disorders besides VSD can produce a systolicmurmur?How can character of the murmur and pattern of radiation beused to differentiate among these etiologic factors?
Q4 Is it necessary to close a VSD?What are the commoncomplications of untreated VSD?
At 25 C, approximately what pressure in MPa must be applied to water to reduce its volume by 2%
An oil-storage area was abandoned 18 years ago. Oil spilled on the ground had saturated the soil at a concentration of 400mg/Kg of soil. A fast food chain now wants to build a restaurant at the site, and samples the soil for contaminant
What is the shear rate in the water between a sliding and standing plate, if V = 10 ft/s is the moving plate velocity and 0.1 in. is the distance between the plates
A particle of mass 200kg is lifted up vertically by a force of 104N. Assuming the acceleration due to gravity is 10meterper.secondsquare, write a program to calculate the upward acceleration of the particle.
If the maximum (total) depth of water that can be accommodated at the weir is 1m and the width of the channel is 4m, determine the crest height of a suppressed weir that should be used to measure the flowrate.
An 8.5 m compacted fill is to be placed over the soil profile. Consolidation tests on samples from points A and B produced the following results. a) Calculate the consolidation settlement caused by the weight of this fill.
(a) Calculate the annual costs ($/yr) of meeting the proposed effluent requirement of 0.1 mg P/L using alum to precipitate AlPO4(s). Assume the chemical formula for alum is Al2(SO4)3·18H2O (MW = 666).
A reinforced concrete beam having the cross section shown is on a simple span of 28ft. It carries uniform service loads of 3.60 kips/ft live load and 2.20 kips/ft dead load. Check the adequacy of the beam with respect to the moment.
What is the tension in the cable connecting the boat to the pier Angle of spray 50 degrees off horizontal axis and is spraying toward the pier and pushing the boat away from the pier.
A solid circular shaft AC of total length L=L1+L2 is fixed against rotation at ends A and C and is loaded by a tourqe T_b at joint B. If the diameter of the two segements of the shaft are in ratio d2/d1
Design a square column footing for a 18-in square tied interior column that supports a dead load D= 220 k and a live load L=180 k. The column isreinforced with eight bars, the base of the footing is 4 ft below grade
uniform rod makes with the vertical during the roll, and (b) the speed of the roller after it moves 4 ft., starting from rest. The roller rolls without slipping, and the rod hangs vertically (theta = 0) when the system is at rest.
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