Learn vocabulary, terms, and more with What observation should you report to the register nurse when caring for a. I have completed 2-4 of the competency test. A. What intervention do you expect will be aprt of care/ quizlet lpn pharmacology long term care a v1 - sercano.com what ingredient can sometimes be found in cold medicine drugs? Check your knowledge with this licensed practical nurse exam practice test that is given below. Are you ready to give the nurse certification exam? When you are doing competencies at the hospital, it is too late for discussion! What is the mostapropriate response? Exam Answers 2020: Prophecy Rn Pharmacology Exam A V1 Answers Prophecy Rn Pharmacology Exam A V1 Answers Posted on 20-Feb-2020. _________ is produced in mothers during uterine contraction and makes milk ejection in nursing mothers. serious side effect of aminoglycoside antibiotics? D. Ask the patient to point to their pain level on a scale. why is it important that the client know to take an aminoglycoside antibiotic drug for the full length of time prescribed? chadandbrandi. For a patient with acute pancreatitis who is experiencing abdominal pain , what diet orders do you expect to be in the plan of care? Ph: (714) 638 - 3640 Craigslist Allen Tx, Move the lift next to the patient I can't believe it. Emergency, RN priority, The teams . . What observation should you report to the register nurse when caring for a patient with peritoneal dialysis catheter? Call the CNA to clean her up Written by Trusted Care Team Updated over a week ago Linked below are the study guides that Prophecy provides for each competency exam. Gravity. More and more, organizations are hiring from a limited applicant pool. a- " I can talk with the client about the food request while you complete the assesment.". D. increasing destruction of bacteria by enhancing urinary excretion, A. Licensed Practical Nurse Exam Practice Test - ProProfs Quiz Which reply by the PN reflects an understanding of the PN's scope of practice? The Prophecy Prep Progressive Care RN test is a condensed version of the full length Prophecy pre-hire assessment, Quizlet. Tablet!Calculations! c. 3-pentanol *ototoxicity Exam Objective: To measure the overall level of clinical knowledge in the area of LPN LTC Pharmacology. Just symptoms or a diagnosis. Has 2 years experience. part answers mandatory assessment Prophecy 3 core quizlet . Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Diabetic Ketoacidosis B. Kmcgl002. The test was harder than I thought, even though I really studied for it. Which intervention should the nurse implement to address this problem? E. Knowledge of chronic conditions commonly seen in the geriatric population. nursing sjt online prep jobtestprep. A. Which of the following statements will support the resident's mood and emotional status? Which of the following vital signs would you find MOST alarming? Road map of Strasbourg, Grand Est, France shows where the location is placed. Keep the syringe connected while withdrawing the catheter Questions were pretty similar with a few new ones thrown in. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. I failed the last time. and I want the next time to be the last!!!!! Choosing a specialty can be a daunting task and we made it easier. What is the mostapropriate response? 3/11 Prophecy Health Nurse Test Answers. D. strict bed rest with frequent gressing changes, What can help prevent delirium and functional decline in a patient with dementia? Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's Disease, CAD, and depression. Too much personality and psych type questions, and really has no bearing on what kind of nurse you are. A. Aerobic Dialysis v1. following pairs of units: (d) ocean basins become shallow. The prescribed dose for the HCTZ is 12.5 mg twice daily. A. what type of foods impair Parkinson`s disease medications. $ Exam Objective: To measure the overall level of clinical knowledge for the LPN/LVN. A65- year old smoker with a history of high blood pressure present to an ambulatory setting with eye complaints and facial paralysis. Two angles are complementary if their sum is exactly 90 degrees; two angles are supplementary if their sum is exactly 180 degrees. progressive care rn b prophecy quizlet - hazrentalcenter.com Capella University. Start studying Long Term Care Exam 1. What must you do FISRT? B. The PN sees the tin of cookies in Mr. Billings' room. _____________ and ___________ are due to abnormal increase in growth hormones. Prophecy (formerly nursetesting.com) is usually for agency competencies. Required fields are marked *. Nobody counts anyway, you eyeball it if have to use gravity. Flashcards. Maybe it's time we were all held to a higher standard. Your email address will not be published. C. Pain medication Answer 50 questions. Saint-sernin Khan Academy, what types of OTC drugs should be avoided if clients have certain diseases involving the liver, kidneys, or gastric issues like ulcers? why? I have been a nurse for 23 years. C. Smile and introduce yourself when entering the room B. Fertilizantes, nutrio animal e qumicos. invasion of the body by a pathogenic organism that multiply and produce toxins that react in a dangerous way and produce illness in the host organism what can happen to normal body bacteria/flora when taking antibiotics? 1. Then nursing assistant reports that your post-op day 2 CABG patient has a temp of 101.3 and BP of 82/56. Anyone have any new info or helpful tips regarding these Assessments? Encourage her to use the beside cammode Latitude and longitude coordinates are: 48.580002, 7.750000. Email today and a Haz representative will be in touch shortly. MetricConversions! Glucose is vital for cellular respirations to make__________________ for the body. multiple medications increase the risks of drug interactions and side effects, substance that impairs normal fetal development, what agency is responsible for recalling a medication, what part of a prescription that tells how many refills are allowed, what agency determines information required on medication labels, Name address telephone number the dea number of prescriber name and address of patient date superscript inscription (name of drug dosage and quality) directions for drug and subscript, Name generic name dosage route total NDC number and lot number, Julie S Snyder, Linda Lilley, Shelly Collins, Abbreviations for Site or Route of Administra, Lesson 602 - Coordinate Flights for Satellite. Tyquanna_Dean. Relias Assessments is the national leader in holistic healthcare assessments. If you have recent experience as a floor or ICU nurse, you can probably just go straight to the test, and repeat if needed. Pshychiatric Exam Answers Prophecy Medical Surgical Exam A V1 Quizlet Prophecy Health Exam A Answers - staging.epigami.sg Progressive Care Flashcards | Quizlet Prophecy Pcu Exam Answers - bitofnews.com Prophecy Testing - Page 3 - Travel Nursing - allnurses Prophecy Pcu Exam Answers Prophecy Health Nurse Testing Answers - Exam 2020 Answer Keys Prophecy Health Nurse Test Answers Learn. Confirm the specimen label and patient name NURSING BSN 4016. Since 1997, allnurses is trusted by nurses around the globe. View more. C. the nervous system Since 1997, allnurses is trusted by nurses around the globe. The latitude of Strasbourg, Grand Est, France is 48.580002, You should reduce the dose from 1 mg/mL to 0.5 mg/mL after: 6 hours. D. Tell her its Ok to continue to use her brief, A. I was given NOTHING to study ahead of time, just went in cold. Strasbourg, Grand Est, France Geographic Information, Menton, the Provence-Alpes-Cte d'Azur, France, Boulogne-sur-Mer, Hauts-de-France, France, Issy-les-Moulineaux, le-de-France, France. Create. It is not a prerequisite to traveling, it is prerequisite to traveling with that agency. Draw structural formulas for each of the following alcohols. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. You are performing a routine follow up visit on an elderly patient and observe he is exhibiting symptoms of dehydration and complaints of persistent fatigue. D. translocated bacterial organisms, A common organism found in the bowel that can inadvertently cause a urinary tract infection is: How many tablets should the nurse give in one dose? what are the levels of drug safety for pregnancy, A (lowest level) B (slight) C (moderate) D (risky) X (highest), high abuse level not medically accepted for use, (severe dependency) high abuse level acceptable medical uses but must have a new prescription for each new dose sever restrictions, (may lead to moderate or low physical or psychological dependency) lower abuse potential acceptable medical use; moderate to low dependence risk. Increase risk of digoxin toxicity Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. The country code given is in the ISO2 format. C. Open the lift legs fully Fax: (714) 638 - 1478. A. The city is situated in the department of Bas-Rhin, right at the border between Germany and France. D. Confirm the use of specimen fixative, A. what would be the ideal time frame for beginning drug treatment for the flu? 30 terms. B. the cardiovascular system decisions results in long-term nurse success, satisfaction, and retention. Your patient is receiving an amiodarone drip. Which response by the PN would be most correct? B. Adjuvants are substances that slow but do not stop the release of an antigen from an injection site into the blood. Date: 2021-1-9 | Size: 26.1Mb. Really? Prophecy Rn Pharmacology Exam A V1 Answers. 30 terms. Core Mandatory 2. b. NURSING AND MIDWIFERY COUNCIL OF GHANA SCHOOLED NURSES AND MIDWIVES ON NEW REQUIREMENTS FOR RENEWAL OF PIN/AIN, Nursing has let itself down on research, says RCN chief exec, Nursing and Midwifery Council of Ghana Cancels Result of 10 Candidates, Nursing and Midwifery Council of Ghana registrar commended Nurses and Midwives in the upper west region, Nursing and Midwifery Council of Nigeria Exam Review, #ObafemiAwolowoUniversityTeachingHospitals. Prophecy Rn Pharmacology Exam A V1 Answers - myilibrary.org Rose Box Price. Revenge Hoodie Stockx, Nurses interested in this certification may work in areas such as intermediate care, direct observation, stepdown, telemetry, transitional care or emergency departments. D. Knowledge of appropriate medication administration methods/routes. the common side effect(s) of opioid use besides addiction, potential side effect for muscle relaxants. Give it a try and get some desired revision. The Prophecy Prep RN Pharmacology exam is a condensed version of the full length Prophecy pre-hire assessment, measuring vital competencies that are important to successful nursing practice with regards to medication administration. *antibiotics can disrupt the normal flora in the body and cause yeast or fungal infections to occur, common yeast infections that often overgrows to cause a fungal infection, the common treatment of oral candidiasis (Thrush). Nursing Pharmacology Questions and Test Banks In this section are the practice problems and questions for nursing pharmacology. STUDY. 20%$ 40%$ 20%$ 20%$ Knowledge Domains - LPN/LVN Pharmacology FluidDosageCalculation! A. Surgical long term care- they will be there for moths or years until they pass away. Some hospitals use Prophecy as well, but in a forum like this the discussion will center around agency use. Lpn Long Term Care A V1 Prophecy - Explore Recent State the physical quantity corresponding to the following unit. what term do we use to describe the need for higher doses of opioid meds when the normal dose isn't relieving pain? B. Projectile vommiting and diarrhea Our members represent more than 60 professional nursing specialties. Prophecy LPN/LVN A Flashcards. If you don't pass the 1st time, at least you've had a good look, and can better guage what to expect. You will take it again if you don't get an acceptable score. Which action should the PN initiate with the UAP? I agree with the poster that said study your wrong answers (correct answer is provided after completion of test) before you retake the test. o Long-acting benzodiazepines o Lorazepam (Ativan) o Midazolam (Versed) Review IV Therapy monitoring, such as recognizing infiltration, extravasation, phlebitis. Etienne_Willianne-Dysrhythmia___Basic_A-results.pdf. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 1-612 . Which of the following side effects should the LPN expect? and it will give you the questions you missed and your incorrect answer. Most progressive care nurses use a (2): -combination systems approach -applied in a top-to-bottom manner Assessment of the progressive care patient begins (2) -moment nurse aware of pending admission/transfer Knowledge of signs and symptoms of pulmonary/post-surgical complications and nursing interventions to treat complications such as pulmonary embolism, pneumothorax, etc. You can follow any responses to this entry through the RSS 2.0 feed. On average we also see this section taking about 30-40 minutes to complete. relias.pdf - Clinical Results - LPN - Long Term Care A v1 After I got a look see at the test and knew better what to expect, I had the agency reset the test and scored 97%. PDF Basic Medication Administration Exam - LPN/LVN (BMAE-LPN/LVN) Study Guide lpn pharmacology Flashcards and Study Sets - Quizlet A licensed practice nurse is assigned to giving care to people who are sick, injured, or disabled. Aspirin use may be reduced the risk of Bile duct cancer ! I can say, If all nurse had had to do this test as there annual competency, we would have a much higher quality of staff. [DOWNLOAD] Prophecy Test Answers Pharnacology . *antibiotics can disrupt the normal flora in the body and cause yeast or fungal infections to occur OR (basically the same thing) *Situation By visiting our site, you agree to our privacy policy regarding cookies, tracking statistics, etc. lpn long term care a v1 answer key prophecy - wptest.icnet.net To become a licensed nurse, you need to pass the certification exam, and if you are looking for revision materials for the finals, then this test is for you. Ask them to couch into their arm and wash their hands enzymes that some bacteria produce that gives them resistance against penicillin. B. *Assessment The medication has a long half-life of 4. prophecy rn pharmacology exam answers pdf - Amazon S3 Posted on 25-Jan-2020 Reviewed by Irene C . the recruiter can 'reset' the test so you can take it again. B. preventing bacterial proteins from being made to prevent accidental excessive exposure of the drug AND to prevent creating a superbug. C. Sit with the patient for 15 minutes Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Mr. L has been in the [LTC facility] for a month. prophecy health pacu test manual canton homesforsale com. The PN discovers that Mr. Billings has been taking two other medications at home that are not on the current Medication Administration Record (MAR). Just like in nursing school they want a "text book" answer, but that's not what or how things happen in the real world. L. Knowledge of nursing interventions related to cardiac pacing. both ears bid two times a day ~/c with ID Which intervention by the PN would be most effective? What other safety measures should be addressed immediately at the assisted living community after the door is found open? Subjects. Long-Term Care Practice Tests - Source of Resources for Nurses He used to be so sharp." With time, a very abnormal epithelium develops. LPN Pharmacology 1 Flashcards | Quizlet Prophecy (formerly nursetesting.com) is usually for agency competencies. Start studying Long Term Care Exam 1. He has a pressure ulcer that developed weeks ago and measurements are about the same as last week. Call the CNA to clean her up Dialysis v1. Strasbourg was established in the 1st century BC and is mentioned in some historic documents as the city of Argentoratum. Discharge plans are being made for a 74-yearold client who is widowed, lives alone, and had a left hip arthroplasty after a fall on the ice when volunteering in a day care. Resolve a View Test Prep - Prophecy Comprehensive Exam List - March 2012.pdf from EDG 668 at Grand Valley State University. The nurse should: Make no mention of it at report. Test. Due to its geographic location, the city used to play an important role in the history of Germany and France, as well as in the development of small local kingdoms, especially in the middle ages. What are the signs and symptoms of Hypothyroidism? What actions should the PN take? You only get to answer the question once and can not, go back and change an answer. Click the card to flip Definition 1 / 23 a-2b=0. A. host bacteria b. Cholesterole The Paleozoic experienced several fluctuations in sea level. LPN pharmacology Test 1 Flashcards | Quizlet Progressive care nursing certification is a credential that requires applicants to be a practicing RN or APRN. How does the phase response change at high frequencies? Progressive Care RN A. postoperative proprofs quiz. hello quizlet Home Subjects Expert solutions Study sets, textbooks, questions Sign up Results for "lpn pharmacology" All resultsStudy setsTextbooksQuestionsUsersClasses Study sets Pharmacology LPN 68 terms4 what do the terms penicillinase and beta-lactamases refer to? While coordinating the client's increased interest in activities offered in the facilities, the rehabilitation team meets to discuss future plans for Mr. Billings. RN Pharmacology A. B. Insert the specimen in biohazard bag C. not eating too much protein C. Place medication on bedside table and walk away Medsurge exam 3 questions. C. Candidiasis Create well-written care plans that meets your patient's health goals. Observe the patient's skin Case Manager RN-LPN. Free Practice Test Instructions: Choose your answer to the question and click 'Continue' to see how you did. IV. B. RN Exit Hesi (2020) 100 terms. A. Learn vocabulary, terms, and more with flashcards, games, and other study tools. D. Ties his shoes, What should you tell a visitor who is coughing, and has a fever who would like to visit a patient on the oncology? I had to take the Med Surg test twice. Assessments - Core Mandatory Part I Other sets by this creator. This entry was posted on Sunday, February 21st, 2021 at 4:41 am and is filed under Uncategorized. Endocrine A. Ask them if they have visited their provider You are reading page 3 of Prophecy Testing. Written by Trusted Care Team Updated over a week ago Linked below are the study guides that Prophecy provides for each competency exam. Explain. Dumping syndrome Clinical Practice A resident is recovering from Pancreatectomy. A. Staphylococcus Aureus they bind to opioid receptors as agonists to activate the opioid receptors. Long Term Care Exam 1 Flashcards | Quizlet The test was harder than I thought, even though I really studied for it. Chronic bronchitis, there is long-term inflammation of the airways, accompanied by damage to the epithelium and enlargement of the mucous glands under the epithelium. Neglecting air friction, which angular direction produces the greatest projectile height? can anyone help me with the prophecy pharmacology exam B v3??? Our members represent more than 60 professional nursing specialties. If you are going to take these test, do some review first. C. Place the specimen in a bag with ice Second time I passed with 97%. Which glands control hormone levels by negative feedback? Which reply by the PN reflects an understanding of the PN's scope of practice? The fourth action is (A); this statement is designed to address Mr. Billings' feelings and to direct his attention to the PN and away from the threatened UAP. Search. (Place in numerical order from first action through last action.). Monday - Saturday 8:00 am - 5:00 pm Suppose injection A is given without an adjuvant and injection B of the same amount of antigen is given with an adjuvant that causes antigen to be released over a period of 23 weeks. What responsibilities does the PN have in this instance? C. Frequent baths Free Practice Test. A. bacteriostatic WBCs in childhood helps fight infection due to the maturation of ________________. D. bactericidal, the human body has numerous bacteria that are nonpathogens living in most areas of the body. advice to clients taking antibiotics while on oral contraceptives, use another form of protection since some antibiotics can make BC less effective. I practiced and practiced until I got it right, and I made a 100% on that "prophecy test". d. 3-methyl-3-pentanol. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. A. Prophecy Healthcare Nursing Specialty Exams Cardiac Cath Lab Cardiac Progressive Care Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. chadandbrandi. E. Ability to identify and manage signs and symptoms of allergies and/or adverse reactions. A licensed practice nurse is assigned to give care to sick, injured, or disabled people. With this information, which initial action should the PN take? Do they make you take this test at your travel facility once you've been hired for the assignment or is this like a pre-assignment exam? This section is also not timed, allowing the nurse to watch and re-watch videos as many times as needed. My husband is a nurse also he was reviewing the questions with me and works on an Ortho/spine surgical unit and his response was what the ****. Contrast dye studies 2. ekg practice practice ekg strips. We do not guarantee the accuracy of the given coordinates of the places in our database. Spell. invasion of the body by a pathogenic organism that multiply and produce toxins that react in a dangerous way and produce illness in the host organism. Liability you know. allnurses is a Nursing Career & Support site for Nurses and Students. Which of the following response(s) by the PN would be helpful? The nurse should recommend which of the following facilities as the most appropriate placement for this client? 115 reads death penalty papers by students Review assessment, interventions, monitoring, and care for conditions commonly encountered including: Apnea, pulseless, asystole ACLS protocol, first medication = epinephrine C. Knowledge of chest tube care and the nursing interventions related to chest tubes, including signs and symptoms of air leak, dressing changes, collection chamber, etc. Learn vocabulary, terms, and more with flashcards, games, and other study tools. what step must be taken if a client is unable to communicate? *to meet the demands of the body. general icu pharmacology question prophecy health. her order are to return to doing ADLsindependently as soon as possible. Review uses, patient care and teaching related to the following devices: Arterial sheath, removal Demand pacemaker Enteric feeding tube Endotracheal tube, including proper positioning Restraints Transcutaneous pacer Ventilator, including troubleshooting and VAP prevention Review interpretation of cardiac rhythm strips and recommended action: You suspect a post surgical complication. Upper abdominal pain that radiates to the lower back. 6.64163137367 year ago, -
quizlet lpn pharmacology long term care a v1 lotion. A. sucking and grasping Explain the difference between the nervous and endocrine systems. Those who want to become a Progressive Care Certified Nurse will need to pass the PCCN exam. DMS (degrees, minutes and seconds) format. Strasbourg, Grand Est, France - Lat long if a client is hospitalized, they may require higher amounts of nutrition due to what factors? Give it a try and get some desired revision. when is the best time to take antibiotics? A lap eredeti cme: https://hu.wiktionary.org/w/index.php?title=Szerkeszt:Matthias_Buchmeier/de-en In other words, it is an intermediary level of hospital care. This level may: 250ml/hr A provider orders one liter of NS to . 1-612-816-8773. Questions and Answers. a. I've been a nurse for 30 years, but no recent floor or ICU. There were no details, just an outline. *Recommendation, What common infection is often caused by an organism re-locating from one area of the body to another? Science Progressive care refers to care provided to hospital patients who need more monitoring and assessment than patients on the surgical/medical floor but whose conditions arent so unstable that they need to be in the ICU. Instruct the patient to calm down and raise voice if necessary The first test I got 65%. Find curl v\mathbf{v}v, where with respect to right-handed Cartesian coordinates, v\mathbf{v}v equals, (x2+y2+z2)3/2(xi+yj+zk)\left(x^2+y^2+z^2\right)^{-3 / 2}(x \mathbf{i}+y \mathbf{j}+z \mathbf{k}) allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 national safety compliance quiz answers 13 090, national center for transportation infrastructure durability and life extension, catholic rosary prayer for death anniversary, apex college and career preparation 2 quizlet, intentional breach of contract california, Is There A Stomach Bug Going Around Houston 2021, Millennials Generally Don't Remember A Time Without The, Https Global Zone52 Renaissance Go Com Welcome Portal 6594170. C. Increased skin elastisity C. Toss her a roll of tissue and walk out of the room The PN meets a friend of Mr. Billings who came for a visit. Learn vocabulary, terms, and more with flashcards, games, and other study tools. D. use hand gesture to mimic what you are going to do, B. Prophecy Assessments - Core Mandatory Part I. Uses a cup to drink What is the sing most important means of controlling and preventing the spread of infections? Choose from 5,000 different sets of lpn pharmacology flashcards on Quizlet. Start studying PCCN: Chapter 1 - Assessment of Progressive Care Patients and Their Families. Bass Drum Marching Band, MedicationIdenti3ication/ Recognition! D. Brace the handle with two hands, You habe been asked to take a specimen immediately to the lab. I had a sheet of paper so I could remember what I answered for each question in case I had to retake the exam. quizlet lpn pharmacology long term care a v1. Assume that each angle passed is nonnegative. The Prophecy progressive care rn a v1 answers. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. B. B. Saved from. B. lice infection Which of the following facilities should the nurse discharge this client to? common treatment for vaginal candidiasis? STEM Entrance Exam Quiz: Can you pass this Stem Exam? D. Inform them that they need to wear N-95 mask yo enter the room, C. Inform them that they should visit when they feel better, Prophecy- Core Mandatory Part II (Nursing), Prophecy Assessments - Core Mandatory Part I, Julie S Snyder, Linda Lilley, Shelly Collins. what lab test can help determine the nutritional needs of a client? medications are organized according to pharmacological action, therapeutic use, body system, chemical composition, and safe use during pregnancy. ! Since the moon is constantly attracted toward the earth by the gravitational interaction, why doesnt it crash into the earth? Please use Latlong.net at your own risk. Give it a try and get some desired revision. Encourage her to use the beside cammode B. Assisted living Special care unit Skilled nursing care facility Rehabilitation unit 2. Learn vocabulary, terms, and more with flashcards, games, and other study tools. and the longitude is 7.750000. Specializes in Med-Surg, Travel RN. 27 terms. Only had 2 opportunities to pass with minimum 80%, so I would suggest to study based on Table of Contents, then take the test. rn exit hesi. Also known as ARB's (a very potent vasoconstrictor), prevents angiotensin ll from binding to receptor sites in vascular smooth muscle, brain, heart, kidneys, and adrenal glands, thus blocking the blood pressure elevating and sodium retaining effects of angiotensin ll. nanograms and grams. Discharge plans are being made for a 74-yearold client who is widowed, lives alone, and had a left hip arthroplasty after a fall on the ice when volunteering in a day care. *Background Other Quizlet sets. Cimetidine (Tagamet) was one of the medications the client was taking at home. Mrs. Billings asks the PN if her husband can start taking ginkgo biloba since she read that it can help with memory loss associated with Alzheimer's disease.
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