Answer:
The answer is B. False
Explanation:
When arterial pressure increases, this places a greater burden on the heart, at the time of cardiac contraction, to maintain blood circulation. This greater burden on the heart forces it to a greater consumption of energy by the myocardium and to a hyperplasia, which leads sooner or later to a cardiac hypertrophy and heart failure if it is not properly managed. Hypertensive patients are initially asymptomatic, so periodical control of them is recommended and more if there are personal factors such as obesity, sedentary lifestyle, smoking among others.
Schema, assimilation and accommodation
Explanation
Schema, assimilation and accommodation are three important concepts in Piaget’s cognitive development which the kids adapt to learn and understand their world.
Schema is the mental or cognitive idea, concept or framework which organizes and interprets information. Schema is built continuously during cognitive development of children through the interweaving of the adaptation processes of assimilation and accommodation.
Assimilation helps a kid to take new information and add it to the existing schema or old information about the same concept. For ex., identifying a four-legged animal as a cow by a kid is assimilation of a new information.
Accommodation helps a kid to analyze and modify the new or old schema or information based on what is learnt or experienced. For ex., Identifying that all four-legged animals are not cow and they can be a horse or bullock also depending upon the difference in their structure is the accommodation made by the kid on top of existing schema of four-legged animals.
Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
