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o Focus on one area of proficiency that could be improved
o Oreo Cookie or Sandwich technique
o Ask the person for his/her view of the situation
o Don't give your opinion - give your analysis.
o Using “I” statements is more effective than “you” statements.
o Focus on objective observable behavior.
o Attempt to offer a suggestion for next time. |
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| Understanding and application of ethical principles |
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| Ability to formulate appropriate empathic responses utilizing reframing and reflection of feeling |
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| Ability to formulate appropriate feedback |
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| Application of the patient counseling script |
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| One question is related to suicide prevention |
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Pathologic Changes: Composed of elongated ducts and hyperplastic stroma resembling intralobular connective tissue
Adolescents and young women
Most common benign neoplasm of the breast
Lesions are Sharply circumscribed spherical nodule
• Freely mobile: The lump will move on palpation
• This distinguishes it from a cancer, which is anchored to the stroma so it stays put |
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| Prostatic hypertrophy (begnin) |
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o Most males over 40
o Frequent urination
o Increase in the number of cells in an organ or tissue classified into physiologic and compensatory hyperplasia |
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•Multifactorialinheritance
•Diet, environment, and genetic predisposition. Twins have 90% concordance rate for disease
•Insulin Resistance, caused by gross obesity
•Defined as an insulin requirement of over 200 U per day for one week
•Both decreased receptor affinity and decreased receptor concentration contribute to insulin resistance
•Normal pancreas secretes 30-50 U insulin per day
•Amyloidosisof islets is seen |
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•MEN TYPE I (Wermer Syndrome): Cluster of findings-Gastrinoma Peptic Ulcer-Prolactinoma Hyperprolactinemia-Adrenal Cortical Adenoma
•MEN TYPE II (Sipple Syndrome): Cluster of findings-Bilateral Pheochromocytoma-No gastrinoma-Bilateral medullary carcinoma of the thyroid |
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•Partial double-stranded, partial single-stranded DNA virus
•Associated with hepatocellularcarcinoma, particularly in Asia and Africa and the level of risk is synergistic with the carcinogenic effects of Aflatoxin-B1
•Hepatitis Virus codes for proteins that block Tumor Suppressor proteins |
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