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Many factors influence your mental and emotional health

Which of the following accounts for someone who has had regular herpesvirus-mediated cold sore or genital sore flare-ups? a) re-infection by a closely related herpesvirus of a different strainb) re-infection by the same herpesvirus strainc) copies of the herpesvirus genome permanently maintained in host nucleid) copies of the herpesvirus genome permanently maintained in host cell cytoplasm

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