![]() A lot of test takers prefer to do two rounds of UWorld, but depending on the assessment scores, sometimes one round is enough as long as the first round is done in a random/mixed and timed fashion intensively over a short period of time. Uworld is the gold standard learning tool for Step 2 CK preparation. To help streamline your preparation, we have mentioned below the resources and strategies to prepare for Step 2 CK. A biopsy specimen of the bladder shows marked chronic inflammation with fibrosis and scattered granulomas.The United States Medical Licensing Examination (Step 2 Clinical Knowledge, aka USMLE Step 2 CK) is a 9-hour-long exam divided into eight blocks of 60 minutes each with a total of 318 questions based on clinical scenarios that test the examinees’ ability to apply medical knowledge and understanding of clinical concepts with respect to patient care, with an emphasis on health promotion and disease prevention.Ĭonsidered a vague and lengthy exam by many, USMLE Step 2 CK’s preparation almost always presents as a challenge for test-takers. Imaging studies show bilateral hydroureter and hydronephrosis and foci of calcification in the region of the bladder. Physical examination shows suprapubic tenderness. Temperature is 38.0☌ (100.4☏), pulse is 80/min, respirations are 16/min, and blood pressure is 110/84 mm Hg. He lived in sub-Saharan Africa until he came to the USA 6 months ago for graduate school. He also has had episodes of blood in his urine during the past 5 years. It is most appropriate to obtain specific additional history regarding which of the following in this patient?Ī 28-year-old man comes to the office because of a 1-year history of pain with urination that has increased in severity during the past month. Deep tendon reflexes are absent throughout. He moves all extremities in a limited, guarded manner. There is marked swelling and tenderness to palpation of the elbow, wrist, knee, and ankle joints. Multiple ecchymoses and petechiae are noted over the trunk and all extremities. Dentition is poor, and gingivae bleed easily to touch. Examination of the scalp shows erythematous hair follicles. On examination, he appears alert but does not speak or make eye contact. Use of acetaminophen has provided minimal relief of his pain. His mother says he has lost six baby teeth and has been irritable during this time. (E) Ovarian stromal cells dividing and multiplying rapidlyĪ 6-year-old boy is brought to the office by his mother because of a 1-month history of bleeding gums after brushing his teeth, increasingly severe muscle and joint pain, fatigue, and easy bruising. (D) Failure of functional ovarian cysts to regress after the release of an ovum (C) Endometrium growing outside the uterus ![]() (B) Endometrium growing into the myometrium (A) Benign monoclonal tumors arising from smooth muscle cells Which of the following is the most likely cause of the patient's symptoms? Physical examination discloses an enlarged, irregularly shaped uterus with nodularity. The patient is 163 cm (5 ft 4 in) tall and weighs 75 kg (165 lb) BMI is 28 kg/m 2. ![]() ![]() Her mother and sister underwent hysterectomy at the ages of 39 and 43 years, respectively, because of abnormal uterine bleeding. She has no other history of serious illness and takes no medications. She used an oral contraceptive from the age of 17 years to 40 years, but she discontinued use after she was diagnosed with deep venous thrombosis of the right lower extremity. Use of acetaminophen and ibuprofen has provided minimal relief. During the past year, menstrual periods have occurred at 21- to 28-day intervals and lasted 10 to 12 days with increasingly severe pain. Previously, menses occurred at regular 28-day intervals and lasted 3 days with minimal cramping. A 42-year-old nulligravid woman comes to the office because of a 1-year history of increasingly irregular vaginal bleeding and menstrual cramps. ![]()
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![]() I tried windows service pack 2 updates, but nothing works. I can open the document that after selecting the file only in excel or word blank document by clicking on the windows logo & choose the file and click on open. Make sure you typed the name correctly and try again. ![]() Whenever I click on a word or document it opens excel excel but it gives an error message: windows cannot open c:\users. Word or excel file does not open on gives Vista error: windows cannot open c:\users. Marking a post as answer, or relatively useful, you help others find the answer more quickly. Lorien - MCSA/MCSE/network + / has + - if this post solves your problem, please click the 'Mark as answer' or 'Useful' button at the top of this message. If the procedures described above do not (or if you prefer another alternative), download the free 7 - Zip at: and install it and use it to open the zip file. It's actually an executable file which probably opens a file or a zipped folder. The self-extracting file does not open correctly. I got a fix, but the file does not open correctly. It's just PDF Complete (which was free with my HP computer) does not work! I agree that it's a software because it works well with Adobe Acrobat. My new Office Jet 8500 (A910-G) seems to correctly perform a scan to PDF, but the PDF file does not open, gives me the error message "the selected document cannot be opened" in PDF Complete. Office Jet 8500 a makes a scan of document, converts and saves the PDF file, but the PDF file does not open Migth you run the cleaning Adobe CC tool while they are uninstalled: Version 4.4 of the Lightroom and Photoshop CS5 Just upgraded my mac to Yosemite and since then, the problems with the help of change based on Photoshop from Lightroom. Lightroom edited photo does not open in Photoshop CS5 What version of Camera Raw are you using and what version of PS? Not in this case size won't matter, if you open an image in Camera Raw, it should open in PS. Is there a new camera raw download from the creative cloud? ![]() I was wondering if the megapixals are too big to manage in ps cc. iPhoto is pretty much useless when you have LR.My raw files do not load on photoshop once I adjust in camera raw Why are you using iPhoto for anything? You can insert the camera card into a card reader (or use the camera as a card reader) and more efficiently import directly into LR. Press the button and look for your DNG files in the destination folder. There are some other options but the defaults are usually fine. It is fairly straight forward, you select the folder containing the CR2 files and Select a destination for the converted images. You will only need the DNG Converter if you are not going to upgrade. All of your existing cataloged entries will be transferred over and from that point forward you will do everything in the replacement catalog. (You can remove the LR 4.4 app later by sending it to the Trash.) LR 5.x will use a slightly different catalog structure and will initially read your LR4.x catalog file and create a replacement in the new catalog structure. When you purchase LR 5.x as an upgrade, you will install it as a separate app. ![]() ![]() ![]() If the screen is bouncing around in the camshafts and rockers, it will score the lobes and start to seize a camshaft which in return will make you skip timing. There may be updated revisions on these gaskets but this is what I had down in my spreadsheet! I would buy the gaskets myself before going to a shop and tell them to give you the old gaskets back in a bag so you can verify they did what they were supposed to. Very minor kinda like just a stain showing. Had it checked out before I got it and found it had a Front Engine/Timing Chain Cover Oil Leak. Here is the part numbers for the gaskets you'll need to have replace when you have it checked. 1 I just bought a 08 Lexus ES350 with 151k miles. Preventive maintenance or spending a few hundred for a shop to take a look and verify and replace gaskets is better than 2 to 6k for a rebuild or engine swap. This can be fixed by removing the timing cover and the bad gasket, cleaning up the oil that leaked out, checking for and cleaning out any dirt and debris that may have gotten inside, cleaning the surfaces where the gasket seals, and reinstalling the timing. Comments: engine timing cover leaking engine oil, removal of cover to clean and renew gaskets and reseal to engine. If the top end is getting starved of oil, it will be a bad situation. Many cases of a bad timing cover turn out to be caused by a leaking timing cover gasket. Could be a bad PCV, a plugged oil galley(screen clogging), or simply bad gaskets. The oil can contaminate the belts and pulleys at the front of the. The screen is very common, the ball is not. The gasket that fits between the engine block and timing cover can fail and leak oil. make sure the screen and little ball bearing has not dislodged from the bridge. Have them pull off the upper timing chain cover and pull off the Camshaft bridge. If you are not mechanically inclined I would suggest taking this to a shop. Many cases of a bad timing cover turn out to be caused by a leaking timing cover gasket. ![]() The only spot i could find some small fresh clean oil trace was under the Magnetic Variator so i assume that the magnetic variator seal is leaking (a little bit)Ĭan i only replace that seal by removing those 3 screws from that cover or do i have to take off the whole upper timing cover ?ĪrthurDon't even start the car at this point. Here is the latest TSB issued on for oil seepage from front timing chain cover although affected model years are still in 2013 2016 CX-5s: Just out of curiosity (and concern that. I didn't find "fresh" oil traces as far as i could look/feel upwards. Mazda should find a better way to seal the front timing chain cover even though the engine designed with 2-piece engine blocks instead of traditional one. There is a small crowd out there that spruik the method and report good success.Today i went under the car (removed the engine undertray cover) to find out more about where the oil leak might come from. What do you reckon about the poor mans head bolt change? Compared to you I don't know f#ck all about cars, just like getting in and having a go. Still has the genuine ford head gasket in there and I was thinking about being the poor man that I am and just doing the old 1 stud at a time head bolt changeover. Southern Style Slimline Hybrid Front Bumper w/ Warn Zeon 10S and Front Fogs, Metal Oil Canister, Sound Deadening Insulation w/ Focal Front Speakers,Black Weather Tech mats and custom pin striping & dents (the trees & bushes did it for free). Targeting mid 400's and she's my daily driver. So, I was checking the 4runner out which is a 2015 Trail with 31,200 miles. Simply pour it in as you would be filling it with oil or fluid.' The stuff really works. I'm going to do the head studs and oil pump gears / backing plate while its apart as I want to lean on the tune a bit harder on e85. Mazda should find a better way to seal the front timing chain cover even though the engine designed with 2-piece engine blocks instead of traditional one. AT-205 Re-Seal is added to any leaking engine, transmission, power steering system, differential or hydraulic system (except for brakes) to condition rubber seals/gaskets and stop leaks. ![]() ![]() Additionally, and perhaps more importantly, this device provides interactive SOS communication 24 hours a day and 7 days a week to emergency search and rescue services. You’ll be able to send and receive on-the-fly messages, send preset messages, and share your location data to anyone with a phone number or email address. Using global Iridium satellite coverage, this GPS device is capable of two-way messaging from anywhere in the world. You can use it to access even more downloadable maps including NOAA charts and aerial imagery. The full-color 2.3-inch screen displays detailed maps with elevation lines, trails, roads, bodies of water, points of interest, and much more. It comes preloaded with thousands of DeLorme topographic maps and includes useful tools like a digital compass, an accelerometer, and a barometric altimeter. The Garmin inReach Explorer+ is an all-in-one outdoor navigation and communication solution. *Ratings are from Amazon at the time of publication and can change Best Handheld GPS Device Overall: Garmin inReach Explorer+ The 5 Top-Rated Handheld GPS Devices Editor’s Picks
![]() RF W0K225 This is the picture of airbus A330 cockpit during sunrise. Another standard Airbus feature is the ‘dark cockpit’ concept whereby lights only show on the overhead systems management panel to indicate where an action is required. RM D8P8CK Close up of an Etihad Airways Airbus A330 cockpit. ![]() Image sources: A310, A340, A350, A380, SSJ100, A330 and A320. Browse 3,030 authentic airbus a330 stock photos, high-res images, and pictures, or explore additional airbus a320 or airbus a380 stock images to find the right photo at the right size and resolution for your project. Airbus a330 cockpit Stock Photos and Images. ![]() Here is a comparison of the glareshield and pedestal: A330 Cockpit The A330 benefits from the advanced Airbus cockpit design, which receives high marks from the thousands of pilots who fly Airbus aircraft daily. It is impossible to say which one (A318, A319, A320 or A321) based on that picture. Therefore, the picture you show must be an A320 family aircraft. One easy way to distinguish them is the alternate landing gear extension system (the one for the A320 is mechanical and located on the rear pedestal, the one for the A330 is located just below the gear lever, marked in red below):Īlso note the different landing gear indicator layout (marked in green in the pictures above), since the A330 accommodates for the extra center landing gear of the A340 (same family). This leaves us with the A320 and A330, which have very similar cockpit layouts. The A380 and the similar looking SSJ100 have taller screens instead: File history File usage on Commons File usage on other wikis Metadata Size of this preview: 800 × 600 pixels. The newer A350 uses wider screens, excluding this type since your picture shows much smaller screens: ![]() The Airbus A340 and A380 have 4 engines and therefore 4 thrust levers, excluding these types since your picture shows only 2 thrust levers: The earlier A300 and A310 still used analog engine instruments, excluding these types since your picture shows the engine instruments on the upper central screen: There are a few distinctive items to look at when distinguishing between different Airbus aircraft: Engine instruments However, during the height of the pandemic, Delta also used A330-900neos for cargo-only flights to Europe and Asia to help prop up the weakening global supply chain.Based on the general layout and design, it looks like an Airbus aircraft (although that can be misleading sometimes). The A330-900neos are part of Delta’s strategy to grow its international service, in tandem with its Airbus A350 flagship airliners. The A330neo also boasts an increased wingspan, new engine pylons, and a longer range of up to 400 nm, compared to its previous variant.ĭelta Air Lines has ordered 35 of these long-haul workhorses, the first of which entered service for the carrier in 2019, flying a route connecting Seattle and Shanghai. ![]() Not only are these engines quieter than their predecessors, they also help the airliner cut fuel consumption by 14 percent per seat. “Neo”-or new engine option-refers to the airliner’s twin Rolls-Royce Trent 7000 turbofan engines. Designed to make it easy for pilots to transfer between. In the eight years since Airbus announced it would be building a more technologically sophisticated and fuel efficient variant of its popular A330 airliner, the industry has responded by ordering 262 of the new aircraft, dubbed the A330-900neo. This aircraft features a highly advanced flight deck, making it easy for pilots to control the plane. ![]() ![]() ![]() Create Table Using Object Oriented procedure SELECT MyBigIntColumn, MyIntColumn, MySmallIntColumn, MyTinyIntColumn Values are inserted into each column and returned in the SELECT statement. The following example creates a table using the bigint, int, smallint, and tinyint data types. ![]() The following example shows that when the threshold value is exceeded, the data type of the result changes from an int to a decimal. Integer constants greater than 2,147,483,647 are converted to the decimal data type, not the bigint data type. When integers are implicitly converted to a character data type, if the integer is too large to fit into the character field, SQL Server enters ASCII character 42, the asterisk (*). The tinyint data type is not supported in Microsoft Fabric. For example, the result value of an autoparameterized query that includes the expression SELECT CAST (1.0 / 7 AS float), differs from the result value of the same query that is not autoparameterized, because the results of the autoparameterized query, are truncated to fit into the numeric (10, 0) data type. When the / operator is involved, not only can the result type's precision differ among similar queries, but the result value can differ also. ![]() When a query is autoparameterized, the constant value is always converted to numeric (10, 0) before converting to the final data type. For example, the constant value 1 is converted to numeric (1, 0), and the constant value 250 is converted to numeric (3, 0). When a query is not autoparameterized, the constant value is first converted to numeric, whose precision is just large enough to hold the value of the constant, before converting to the specified data type. Therefore, similar expressions in queries can sometimes produce different results. When you use the +, -, *, /, or % arithmetic operators to perform implicit or explicit conversion of int, smallint, tinyint, or bigint constant values to the float, real, decimal or numeric data types, the rules that SQL Server applies when it calculates the data type and precision of the expression results differ depending on whether the query is autoparameterized or not. SQL Server does not automatically promote other integer data types ( tinyint, smallint, and int) to bigint. The bigint data type is intended for use when integer values might exceed the range that is supported by the int data type.īigint fits between smallmoney and int in the data type precedence chart.įunctions return bigint only if the parameter expression is a bigint data type. The int data type is the primary integer data type in SQL Server. But tinyint would not be sufficient for a building's age because a building can be more than 255 years old. ![]() For example, tinyint would be sufficient for a person's age because no one lives to be more than 255 years old. To save space in the database, use the smallest data type that can reliably contain all possible values. Applies to: SQL Server Azure SQL Database Azure SQL Managed Instance Azure Synapse Analytics Analytics Platform System (PDW) SQL Endpoint in Microsoft Fabric Warehouse in Microsoft FabricĮxact-number data types that use integer data. ![]() ![]() ![]() (See instructions if you don't know how to install: Instructions on how to install) 1. Watch Venture Seas Playthrough Ep 2 - We meet Kari on, the best hardcore porn site. 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