A13-month-old child is noted to be at the 25th percentile for weight, the 10th percentile for height, and less than the 5th percentile for head circumference. she was born at term. she was noted to have a small head at birth, to be developmentally delayed throughout her life, and to have required cataract surgery shortly after birth. she currently takes phenobarbital for seizures. which of the following would most likely explain the child’s small size?
a) congenital cytomegalovirus (cmv) infection
b) downsyndrome 
c) glycogen storage disease type ii 
d) congenital hypothyroidism
e) craniopharyngioma

A92-year-old man with a 45-year history of chronic obstructive pulmonary disease is intubated in the icu because of a bout of viral pneumonia that fails to improve after 72 hours of antibiotics. although the inspired fraction of oxygen is 100%, the patient's po2 remains at 57 mmhg. positive-end expiratory pressure (peep) is added to allow the inspired fraction of oxygen. twelve hours after the introduction of peep the patient suddenly become hypotensive. at the same time, his oxygen saturation drops from 92% to 61%. on physical examination, his bp is 80/50 mmhg and his pulse is 124/min. he has distended neck veins and distant heart sounds. which of the following would also most likely be seen on this patient's physical examination? - absence of breath sounds in the right hemithorax- high amplitude carotid artery upstroke- a pleural friction rub- pulsus alternans- splenomegaly

Someone with my pe hw i need it for tomorrow

Building muscle has which of the following effects? it increases the metabolic rate. it relieves pressure on the joints. it slows weight loss considerably.