case study for microbiology: a 65 year old woman was bitten by her cat on the dorsal aspect of the right middle finger at 800am. She rinsed that bite with water, and at 430pm she noted pain and swelling in the finger between the dorsum of the right hand. She then noted pain in the axilla, red streaking up the forearm, and chills. On examination, she had a temp of 38 C and her right upper extremity was notable for swelling, erythema, warmth, and tenderness on the dorsum of the hand. Two small puncture wounds were seen on the proximal phalanx of the long finger, and erythema was visible over the extensor surface of the forearm. Axillary tenderness wsa also noted. Lab analysis demonstrated an elevated WBC of 12,000/ml with a left shift . Aspiration of an abscess on her finger was sent for culture, and the patient was taken to the operating room for incision and drainage of the abscess.
Explain why the lab analyst streaked the unknown organism onto each type of agar medium (SBA, Chocolate, and MAC)
WHich organism was isolated on the culture of the abscess
What is the reservoir of this organism and how do humans most commonly become infected by this organism
What other clinical syndromes can be caused by this organism

Answers

Answer 1

The case study for microbiology is discussed below:

What is Pasteurella multocida virus?

Infections caused by dog and (particularly) cat bites or scratches frequently result from Pasteurella multocida. However, it is infrequently reported and appears to be frequently disregarded as a disease. Cellulitis at the site of injury that is developing quickly is the typical clinical symptom.

This organism tested positive for indole, oxidase, and catalase, according to biochemical analysis.

In less than 24 hours at 35°C in CO2, bacterial culture of intraoperatively obtained abscess material produced smooth, mucoid colonies on blood and chocolate agars (Image 2, bacterial isolate). On MacConkey agar, growth was noticeably missing.

By using MALDI-TOF MS, the bacterium was positively identified as Pasteurella multocida.

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Related Questions

A client is to have an indwelling urinary catheter inserted. Which precaution is followed during this procedure

Answers

The precaution followed during the procedure of indwelling urinary catheter insertion is shown below.

What is the process of indwelling urinary catheter insertion?

Indwelling urethral catheter (IDC) insertion is an intensive technique that should only be done under aseptic conditions. Urinary catheters are often implanted by a medical doctor. They are inserted through the tube that drains urine out of the bladder.

During this process, the precautions to be followed include:

Examine the amount of water needed to inflate the IDC balloon.assemble the removal equipmentMake sure the patient has privacy and is lying down.Between the patient's legs, place an impermeable sheet/kidney dish.Hand hygiene and gloves are required.Start by removing any straps and totally deflating the balloon.If feasible, gently remove the catheter on exhalation, using rotation motions if necessary.Hand hygiene should be practiced.

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A nurse is giving a parent information about autism. Which statement made by the parent indicates understanding of the teaching

Answers

The statement made by the parent that indicates understanding of the teaching is that the onset of autism usually occurs before 3 years of age.

What is autism?

It should be noted that autism is a disorder characterized by challenges with social skills and repetitive behavior.

In this case, the statement made by the parent that indicates understanding of the teaching is that the onset of autism usually occurs before 3 years of age.

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Mr. Rodriguez is currently enrolled in a ma plan, but his plan doesn’t sufficiently cover his prescription drug needs. He is interested in changing plans during the upcoming ma open enrollment period. What are his options during the ma oep?.

Answers

Answer:

The answer is: He can switch to an MA-PD plan.

The options that are open to Mr. Rodriguez  is to  switch to a MA-PD plan.

What is the  MA Open Enrollment Period?

The  MA Open Enrollment Period is a period that employees can become enrolled in different health insurance programs in order to receive the benefits of same.

The options that are open to Mr. Rodriguez  is to  switch to a MA-PD plan.

Missing parts:

Mr. Rodriguez is currently enrolled in a MA plan, but his plan doesn’t sufficiently cover his prescription drug needs. He is interested in changing plans during the upcoming MA Open Enrollment Period. What are his options during the MA OEP?

A. He can only switch to Original Medicare with a PDP.

B.He can change to Original Medicare with a PDP. But if he later finds a MA-PD plan he likes better, he can switch to that as long as the change is before the end of the MA OEP.

C.He can switch to a MA-PD plan.

D.He can only switch to another MA plan.

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A pregnant client with iron-deficiency anemia is prescribed an iron supplement. After teaching the woman about using the supplement, the nurse determines that more teaching is needed based on which client statement

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The nurse believes that further instruction is required if the nurse discovers that the pregnant client's statement indicates that she does not completely comprehend the importance of the prescription supplements.

What is iron-deficiency anemia?

Iron deficiency anemia is a frequent type of anemia that occurs when the blood loses sufficient healthy red blood cells.

It happens when your body is deficient in iron. Possible causes include a lack of iron-rich diets and a difficulty to absorb iron.

For a pregnant client who has iron-deficiency anemia and has been prescribed iron supplements. After teaching the patient how to use the supplements, the nurse believes that further instruction is required if the nurse discovers that the pregnant client's remark indicates that she does not completely comprehend the importance and impact of the prescription supplements.

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As a result of hypoxemia and polycythemia, persons with chronic obstructive bronchitis are prone to:

Answers

Answer:

pulmonary hypertension

What type of paper would a nursing student writing a paper for an undergraduate course most likely author

Answers

The type of paper that a nursing student writing a paper for an undergraduate course will most likely author is a traditional literature review.

What is a literature review?

It should be noted that a literature review is a piece of academic writing that's demonstrates knowledge of a topic.

In this case, the type of paper that a nursing student writing a paper for an undergraduate course will most likely author is a traditional literature review.

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A woman in labor is given an opioid analgesic for pain. Which vital sign is a priority for the nurse to monitor in the newborn infant

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A woman in labor is given an opioid analgesic for pain the vital sign is a priority for the nurse to monitor in the newborn infant is the pulse.

Where is normal birth anesthesia applied?

The anesthesia that is administered to pregnant women during normal delivery is the epidural, which is applied to the lumbar region, in the vertebral space, in order to reach the nerves in the region, providing analgesia there and from the waist down.

therefore, when applying anesthesia during childbirth, it is necessary to observe the pulse since the woman will no longer be able to inform her limit as she will be anesthetized.

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A gland that secrets a hormone that regulates the body's use of calcium

Answers

Answer:

Parathyroid gland secrets a hormone called parathyroid hormone or parathormone (PTH) which regulates calcium usage in our body.

Hope it helps!

Answer:

parathyroid gland

Explanation:

The parathyroid gland secretes parathyroid hormone (PTH) which is responsible for monitoring blood calcium levels by mobilizing calcium reserves in the bone, increasing intestinal absorption and increasing renal excretion. Another hormone involved in regulated Ca blood levels is calcitonin, secreted by the thyroid gland. It lowers Ca blood levels by increasing its deposition in the bone.

immediately after recieving spina anesthesia, a client develops hypotension. Which action will the nruse anticipate needing to take

Answers

When the client experiences hypotension, the action by the nurse will be to place the client in a trendelenburg position.

What is a trendelenburg position?

It should be noted that a trendelenburg position is the position for a patient on the operating table especially during surgeries.

In this case, when the client experiences hypotension, the action by the nurse will be to place the client in a trendelenburg position.

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A client returns to the telemetry unit after an operative procedure. Which diagnostic test will the nurse perform to monitor the effectiveness of the oxygen therapy ordered for the client?.

Answers

The nurse will perform pulse oximetry to monitor the effectiveness of the oxygen therapy ordered for the client.

What is pulse oximetry?

The oxygen saturation level of your blood can be measured with a non-invasive procedure called pulse oximetry.

It can quickly identify even minute variations in oxygen levels. These levels demonstrate how well blood transports oxygen to your arms and legs, which are the extremities that are farthest from your heart. It looks like a little clip and is called a pulse oximeter. It fastens to a body component, usually a finger.

Pulse oximetry is helpful for postoperative patients, monitoring individuals at risk for hypoxia, titrating oxygen therapy, and monitoring patients receiving oxygen therapy.

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The pathologist describes inflammation of the endometrium in the surgical pathology report. This condition is called

Answers

Answer:

The answer is Endometritis

Hope it helps!

If the FDA schedules an appointment to inspect your studies, which department at Emory should you contact first in preparation for the FDA visit

Answers

If the FDA is about to inspect your studies, then you have to contact the compliance department first.

What is the FDA ?

The FDA is an acronym that stands for the Food and Drug Agency. They are in charge of the regulation of all food and drug products that are available in the United States.

However, if you are carrying out your studies at Emory University and the FDA is about to inspect your studies, then you have to contact the compliance department first.

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A mother with Marfan syndrome comes with her 5 year old for a checkup. The child has myopia and a positive wrist and thumb sign. She reports that she was told by her last healthcare provider not to worry about this child. What is the next best step

Answers

Since the child has myopia and a positive wrist and thumb sign the best next step is to raise the issue of genetic referral.

What is Marfan syndrome?

Marfan syndrome is a genetically inherited disorder that affects all the organs of the body that contains connective tissues.

Example of such organs are:

heart,

eyes,

blood vessels and

bones.

Since the mother has Marfan syndrome which can be inherited by the child, the best step to take is to raise the issue of genetic referral.

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Is a freestanding cabinet that is used to hold something

Answers

Answer:

The answer would be a console

Which statement is true regarding the gray matter of the brain?

Answers

Answer:

The correct answer is (a): It makes up the outer tissue layer in the brain. Gray matter consists of cell bodies and unmyelinated neural processes,...

The ________ rate is the percentage of women who experience unintended pregnancy within the first year of using a particular contraceptive.

Answers

The failure rate is the percentage of women who experience unintended pregnancy within the first year of using a particular contraceptive.

What are contraceptives?

The term contraceptives refers to the drugs or pills that are taken by individuals to prevent pregnancy. In the United States, the contraceptive market is very huge but not all the contraceptives are adjudged to be effective.

The failure rate is the percentage of women who experience unintended pregnancy within the first year of using a particular contraceptive.

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A 4-year-old child has been on an oral antibiotic for 7 days. She still has the same symptoms as when she started taking the antibiotic. Her mother calls the pharmacy and speaks to a pharmacy technician. She tells him that though the antibiotic is supposed to continue for another 7 days, it's still almost three-quarters full. The pharmacy technician asks the mother how she's administering the medication. She explains that she's administering one spoonful three times per day. The technician asks what type of spoon she's using, because the prescription was for “one teaspoonful three times per day." The mother says the child will only allow her to use a plastic spoon that was inside the packaging of her favorite doll. What mistake has occurred in dosing?

Answers

Answer:

The mistake is that she was giving a spoonful

Explanation:

Because it says "she explains that she's administering one spoonful three times a day"and the pharmacist said give one teaspoonful.

The first step in creating a successful fitness program is to Multiple Choice assess your current fitness level. determine your training intensity. set specific fitness goals. plan your fitness program.

Answers

The first step in creating a successful fitness program is to assess your current fitness level.

What is the first step in creating a successful fitness program?

Assessment your current fitness level is the first step of a successful fitness program because the current fitness level provides the condition of fitness of an individual. With this information, the person can set their goals and fitness plan.

So we can conclude that the first step in creating a successful fitness program is to assess your current fitness level.

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The two types of endoscopy procedures encode range 31231 through 31298 are diagnostic and surgical true or false

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The two types of endoscopy procedures encode range 31231 through 31298 are diagnostic and surgical Is False.

What are the different types of endoscopic procedures?There are two distinct procedure codes for endoscopic sinus surgery: 31231 Nasal endoscopies, diagnostic, unilateral, or bilateral (separate procedure).31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy, or debridement (separate procedure).Diagnostic Nasal Endoscopy - CPT 31231.

 Endoscopy is a medical procedure that allows a doctor to inspect and observe the inside of the body without performing major surgery. An endoscope is a long, usually flexible tube with a lens at one end and a video camera at the other.

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For clinical trials, what should be reported to the Office for Clinical Research (OCR) to confirm ClinicalTrials.gov registration and for the purpose of ensuring Medicare reimbursemen

Answers

The NCT number is the information that should be reported for both clinical trials and medical reinbursment.

What is the NCT number?

This is a number that works as a unique identification for a study or research. This means each official medical study is associated to an NCT number.

Why is this one necessary?

This number is required for:

The Office for Clinical Research or OCR to have a register of the study.The webpage ClinicalTrials to register the study,Reimbursement.

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A client comes to the emergency department following an assault and is extremely agitated, trembling, and hyperventilating. Which initial nursing action is appropriate

Answers

The initial nursing action that is appropriate is to remain with the client until the anxiety reduces.

Who is a nurse?

A nurse simply means the individual in a hospital or clinic that looks after the patient.

In this case, the client comes to the emergency department following an assault and is extremely agitated, trembling, and hyperventilating. It's important for the anxiety to reduce.

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The recommended amount of vegetables in the Healthy U.S.-Style Eating Pattern at the 2,000-calorie level is _____ cup-equivalents of vegetables per day.

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The recommended amount of vegetables in the Healthy U.S.-Style Eating Pattern at the 2,000-calorie level is 2.5 cup-equivalents of vegetables per day.

What are vegetables?

Vegetables are a class of food that is widely consumed for the fact that they are a good source of vitamins and minerals. Vegetables are highly recommended especially for pregnant women.

The recommended amount of vegetables in the Healthy U.S.-Style Eating Pattern at the 2,000-calorie level is 2.5 cup-equivalents of vegetables per day.

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A disease that is not transmitted by another person, a vector, or the environment is a(n) _____ disease.

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A disease that is not transmitted by another person, a vector, or the environment is noncommunicable disease.

A noncommunicable disease can be described as a type of disease that cannot be spread from one individual to another. This type of disease can stay for a long period of time in the body. This type of disease is very deadly and if not well treated can result in the death of the individual.

Example of noncommunicable disease include; diabetes, mental illness, asthma, stroke, cancer.

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The nurse has given a client information about the use of nitroglycerin sublingual tablets. The client has a prescription for PRN (as needed) use if chest pain occurs. Which client statement indicates an understanding of this medication

Answers

"I need to discard unused tablets 6 months after the bottle is opened" means an understanding of this medication.

What is PRN?

This is a latin word which is 'pro re nata' and means as the circumstances arises in this scenario.

Discarding unused tablets 6 months after the bottle is opened is encouraged in this type of medication due to it being taken only when needed.

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According to the Food and Nutrition Board (FNB) of the National Academy of Sciences, ______ of calories should come from protein.

Answers

Answer:

10% to 35%

Explanation:

There u go

According to the Food and Nutrition Board (FNB) of the National Academy of Sciences, 10% - 35% of calories should come from protein.

What are calories?

It should be noted that calories are the amount of energy that's released when the body breaks down food.

In this case, according to the Food and Nutrition Board (FNB) of the National Academy of Sciences, 10% - 35% of calories should come from protein.

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which hospitalized client is likely to have the anteroposterior chest diameter equal to the lateral chest

Answers

Hospitalized patients who are likely to have an anteroposterior diameter of the chest equal to that of the lateral chest are those who have diseases that course with chronic airflow obstruction, there is an increase in the anteroposterior thoracic diameter.

What does increased anteroposterior diameter of the chest mean?

As the obstruction progresses, respiratory rate increases, hyperinflation becomes evident, and the anteroposterior diameter of the chest increases. The diaphragm is ground and limited in its movement. Diminished breath sounds and less audible heart sounds may be seen.

With this information, we can conclude that Hospitalized patients who are likely to have an anteroposterior diameter of the chest equal to that of the lateral chest are those who have diseases that course with chronic airflow obstruction, there is an increase in the anteroposterior thoracic diameter.

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An athlete falls and sustains a dislocated right shoulder. How should the athlete be transported safely to the hospital

Answers

When the athlete dislocates his shoulder, it is best to immobilize the area and take him to the doctor as soon as possible to assess the severity of the injury.

What is a dislocation?

Dislocation is a type of injury in which the bones move out of their natural position causing extreme pain to the patient. Dislocations usually occur after a fall or a blow.

How to treat a dislocation before going to the hospital?

When a person suffers a dislocation, they should avoid moving the part that was dislocated and go to the hospital immediately. There the doctors will evaluate the severity of the injury and the appropriate procedure, in some cases surgery is needed and in other cases less complex procedures.

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Why are infant feeding problems more common in extremely low birth weight and very low birth weight infants

Answers

Infant feeding problems are more common in extremely low birth weight infants because they born too early so they are very sensitive to everything.

Why are infant feeding problems more common in extremely low birth weight infants?

The main cause of very low birth weight is the early birth of the baby which is called premature birth. The lower baby's birth weight leads to greater risks for complications.

So we can conclude that infant feeding problems are more common in extremely low birth weight infants because they born too early so they are very sensitive to everything.

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Eliza is a 6-year-old girl whose BMI-for-age falls at the 75th percentile on the BMI-for-age growth chart. Eliza is

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Eliza is a 6-year-old girl whose BMI for age falls at the 75th percentile on the BMI-for-age growth chart. Eliza is Healthy weight.

How BMI is calculated?

The formula is BMI = kg/m2

Where kg is a person’s weight in kilograms and their height in meters squared.

BMI categoriesUnderweight = <18.5Normal weight = 18.5–24.9Overweight = 25–29.9Obesity = BMI of 30 or greater

Thus,  Eliza is Healthy weight.

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The World Health Organization was instrumental for developing a 19-item __________ safety checklist.

Answers

The World Health Organization was instrumental for developing a 19-item surgical safety checklist.

What is WHO?

It should be noted that the world health organization is an agency that is responsible for international public health.

In this case, the World Health Organization was instrumental for developing a 19-item surgical safety checklist.

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find the value of y when x equals 0 -7x+3y=30 why is there a 4-minute difference between the solar day and the sidereal day? there are 3 3/4 cookies. if there is 1/4 of a cookie in each bag, how many bags are there? A) What sampling method would you recommend in the following instances? 1) Determining the proportion of undernourished five-year-olds in a village. 2) Investigating nutritional status of preschool children. 3) Selecting maternity records for the study of previous abortions or duration of postnatal stay. B) In the estimation of immunization coverage in a province, data on seven children aged 12-23 months in 30 clusters are used to determine the proportion of fully immunized children in the province. 1) Give three reasons why the cluster sampling method is used in such a survey. 2) Give two sources of systematic error and two sources of random error that may be associated with an immunization coverage survey. 3) In the immunization coverage survey, the 30 villages are selected by system- atic sampling. If the investigator uses 30 clusters that are easy to reach, what is the type of sampling method in this case, and what possible sampling errors would be associated with the method? The graphs below have the same shape. The equation of the blue graph is f(x)=|x|. Which of these is the equation of the red graph, g(x)?y f(x) = |x|A. g(x)=|x-5|B. g(x)=|xl-5C. g(x)=|x + 5|D. g(x)=|x|+5 what were thecultural feature of byzantine empire Find the area of the rectangle.A rectangle is shown. The left side is labeled with the expression 8 x. The top side is labeled with the expression 7 x plus 1. (1 point)15x + 156x2 + 8x56x + 815x2 + 9x Dr. Crane is studying patients who are in the residual phase of schizophrenia. His colleague, dr. Mellus, takes detailed notes during a series of interviews and interactions that dr. Crane has with one such patient for later analysis. What research method are these doctors employing?. Read the excerpt from "The Crab That Played with the Sea.And the Eldest Magician said, H, Son of Adam, this is the play of the Very Beginning; but you are too wise for this play. And the Man saluted and said, Yes, I am too wise for this play; but see that you make all the Animals obedient to me.Now, while the two were talking together, Pau Amma the Crab, who was next in the game, scuttled off sideways and stepped into the sea, saying to himself, I will play my play alone in the deep waters, and I will never be obedient to this son of Adam. 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Instruction: Each of the following passages contains a single argument. 1. identify the premises and conclusion of each argument 2. Fake out the premise and conclusion indicators and write them separ ately. 3. use the standard form of writing arguments premises first and concl usion last by using the letters "p" and "C" 4. which of these passages lack indicators, show us $. 28. 333 10. X X X X X X X X X X X X X X X X X X X X X X X X X X 1 "Abortion is wrong because all human life is sacred."2 "We must reduce the amount of money we spend on space explorati on. Right now, the enemy is launching a massive military buildup, an d we need the additional money to purchase military equipment to m atch the anticipated increase in the enemy's strength." 3 We must give up some privacy in the name of security. If the homeland is not secure, terrorist attacks orders of magnitudes larger than 9/11 will fin d their way to our shores. No amount of privacy is worth enduring an attac k like this. It really does matter if you get enough sleep. We need sleep to think clearl y, react quickly, and create memories. Studies show that people who are ta ught mentally challenging tasks do better after a good night's sleep. Other research suggests that sleep is needed for creative problem solving (U.S. Na tional institutes of Health, "Your Guide to Healthy Sleep") Women of the working class, especially wage workers, should not have mo re than two children at most. The average working man can support no m ore and the average working woman can take care of no more in decentia shion. (Margaret Sanger, Family Limitations) It's flu season and you work with kids, SO you should get a flu shot. "John will probably receive the next promotion SINCE he's been here the lon gest." Instruction : Each of the following passages contains a single argument . 1. identify the premises and conclusion of each argument 2. Fake out the premise and conclusion indicators and write them separ ately . 3. use the standard form of writing arguments premises first and concl usion last by using the letters " p " and " C " 4. which of these passages lack indicators , show us $ . 28 . 333 10 . X X X X X X X X X X X X X X X X X X X X X X X X X X " Abortion is wrong because all human life is sacred . " " We must reduce the amount of money we spend on space explorati on . Right now , the enemy is launching a massive military buildup , an d we need the additional money to purchase military equipment to m atch the anticipated increase in the enemy's strength . " We must give up some privacy in the name of security . If the homeland is not secure , terrorist attacks orders of magnitudes larger than 9/11 will fin d their way to our shores . No amount of privacy is worth enduring an attac k like this . It really does matter if you get enough sleep . We need sleep to think clearl y , react quickly , and create memories . 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If Nancy spent 35 minutes altogether on measuring ingredients and mixing them, how much total time did it take her to complete all the steps involved in baking the cake? The ______________ ________________ Hypothesis claims that the descendants of Noah used technology learned from building the ark to cross from Asia to the Americas. The beta-carotene in dark green, leafy vegetables is abundant but masked by large amounts of which pigment?. Select the correct interpretation of the following expression.2(3x+1)(9x-5)A. double the sum of 3x + 1 and 9x - 5B. the sum of 2, 3x, 1, 9x, and -5C. the product of 2, 3x + 1, and 9x - 5D. the product of 2, 3x, 1, 9x, and -5 Which number line represents the solution set for the inequality 2x 6 6(x 2) 8?