Echinoderms, they are among the most common invertebrate animals in the marine environment of virtually any part of the world, among them we can find species such as sea cucumber , salmon and cod fish, they have chamois cloth like outer layer, then we have the Crinoids, another example of marine species with feather, popularly they are called sea lilies and feathery stars, they have a solid calcite skeleton; they were so abundant in the paleozoic seas that their remains formed large limestone thicknesses.
They contain symbiotic bacteria called rhizobia within nodules in their root systems, producing nitrogen compounds that help the plant to grow and compete with other plants. When the plant dies, the fixed nitrogen is released, making it available to other plants; this helps to fertilize the soil.
True, a vast, flat, treeless Arctic region of Europe, Asia, and North America in which the subsoil is permanently frozen.
Answer:
d. Measure thyroid-stimulating hormone level
Explanation:
The most suitable next step in management of this patient is to measure a thyroid stimulating hormone, or thyrotropin level.
This patient's apparent treatment refractory dyslipidemia is most likely contributed by undiagnosed thyroid disease. Despite sticking to the treatment with atorvastatin, his LDL AND total cholesterol are raised.
Additionally, there are some clinical signals that give an idea about the diagnosis of hypothyroidism especially fatigue and constipation.
Hypothyroidism is concerned with and is a very common secondary cause of dyslipidemia and thyrotropin level measures are indicated.
Hyperlipidemia may show better results to thyroid stimulating hormone.
Hence option D is the right answer.
