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A 75 y/o M who smokes presents with cough and hemoptysis. A CT chest with contrast is performed and shows a 5 cm right upper lobe mass with associated hilar and mediastinal lymph node enlargement. A PET is performed and the mass and lymph nodes are highly FDG avid. Additional FDG avid lesions are seen in the liver, adrenals and multiple areas of the spine. A core needle biopsy of one of the liver lesions is done. Pathology confirms malignant appearing cells that are CK7+, TTF1- and p63+, consistent with poorly differentiated squamous cell carcinoma of lung primary. He is otherwise in good health and desires treatment that may prolong his life. Which describes the best treatment modality for this patient?

A 23 yo man is referred to the Pulmonary Clinic for evaluation of recurrent respiratory infections. He reports symptoms of chronic purulent sputum production for at least 10 years. Physical exam reveals a barrel chest, diminished breath sounds, and scattered rhonchi. Digital exam reveals clubbing. Chest X-ray shows normal cardio-mediastinal silhouette and bilateral changes of bronchiectasis with mucous plugging. BMI = 17.7 kg/m2. Spirometry reveals obstructive lung disease with an FEV1 of 44% of the predicted value. Which one of the following diagnostic tests is most appropriate for this patient?

A 47 year old woman who has reported progressive dyspnea and fatigue over the past 9 months is killed in an automobile accident. An autopsy is performed. Based on the morphologic changes in the lung vasculature shown in the image, which of the following is the most likely diagnosis? 

A 55 year old female with no past medical history presents with acute onset of a productive cough and pleuritic chest pain. On physical exam, you hear rales in the left lower lobe. There is dullness to percussion and egophony in that area as well. A sputum Gram stain and culture on a blood agar plate with an optochin antibiotic disk are shown.     What is the organism?

Please select the slide that represents changes seen in bronchopulmonary dysplasia. 

A(n) [blank1] is a species that is native to a restricted area while a(n) [blank2] is a species that has a widespread geographic distribution.

Assess the difference between an ecological specialist and an ecological generalist and give an example of each (2 pts.) Finally, discuss what factors (at least two) contribute to species rarity from an ecological or evolutionary standpoint (3 pts.)

Assume that the company bought a piece of equipment on January 1 for $100,000, has an estimated residual value of $20,000, and an estimated useful life of 4 years. What is the amount of depreciation for the first year of use using the straight-line method of computing depreciation?

Assume that the company bought a piece of equipment on January 1 for $100,000, has an estimated residual value of $20,000, and an estimated useful life of 4 years. What is the amount of depreciation for the second year of use using the straight-line method of computing depreciation?

Assume that the MUST Co. pays a weekly payroll.  Using the portion of the Wage Bracket Withholding Table given, what would be the amount of federal income tax to withhold for this pay period for a single employee whose gross earning is $400 and who counted 0 withholding allowance? Table for Percentage Method of Withholding WEEKLY Payroll Period SINGLE person(including head of household)–  Assume the deduction for each withholding allowance is $81 (a)   SINGLE person (including head of household)-   If the amount of wages (after subtracting withholding allowances) is: Not over $73. . . .     The amount of income tax to withhold                                          is $0       Over— But not over–   of excess over– $73 —$260 $ 0.00 plus 10% —$73 $260 —$832 $18.70 plus 12% —$260 $832 —$1,692 $87.34 plus 22% —$832 $1,692 –$3,164 $276.54 plus 24% —$1,692 $3,164 —$3,998 $629.82 plus 32% —$3,164 $3,998 —$9,887 $896.70 plus 35% —$3,998 $9,887 . . . . . . . . . . . $2,957.85 plus 37% —$9,887