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.
The pupillary response may be inhibited by problems with the photomotor reflex and/or specialized drugs.
<h3>What does pupillary reaction mean?</h3>
The pupillary light reflex or photomotor reflex is part of a standard neurological examination. It evaluates the constriction reflex of the pupil, called miosis, in view of the incidence of direct light in the eye to be tested.
With this information, we can conclude that Pupillary response varies the size of the pupil of the eye via the iris dilator muscle, which dilates in response to a stressor.
Learn more about Pupillary response in brainly.com/question/2654699
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Answer:
e. H zone
d. A band
b. M line
Explanation:
The bands which stabilizes the thick filament in a myofibril are
c) Dark band having full length of thick filament A band stabilizes the thick filament
E) The H zone having thick but no thin filament stabilizes the thick filament in myofibril.
D) M line is the thick filament it has a protein to which the myosin is attached it stabilizes the thick filament.
Therefore, H zone, M Line, A band stabilizes the thick filament in a myofibril
