Unit 3
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Questions and Answers

What is the primary cause of heat stroke?

  • Dehydration from excessive sweating
  • Exposure to extreme cold temperatures
  • Failure of the heat-regulating mechanisms of the body (correct)
  • Inadequate blood circulation
  • Which symptom is NOT associated with heat stroke?

  • Frostbite of extremities (correct)
  • Altered menstrual status
  • Cerebral edema
  • Hot dry skin
  • What is the most important initial intervention for a patient with heat stroke?

  • Administer IV fluids immediately
  • Perform a cold water immersion
  • Establish airway, breathing, and circulation (correct)
  • Monitor cardiac rhythm
  • Which of the following interventions is appropriate for treating frostbite?

    <p>Protect and elevate the warmed part (D)</p> Signup and view all the answers

    What is a possible risk factor for frostbite?

    <p>Mental health disorders (A)</p> Signup and view all the answers

    What should NOT be done when rewarming a frozen extremity?

    <p>Run the extremity under hot water (B)</p> Signup and view all the answers

    What should be avoided to prevent complications related to vasoconstriction?

    <p>Caffeine (D)</p> Signup and view all the answers

    Why should potassium levels be monitored in a patient with frostbite?

    <p>Because damaged cells can release potassium (D)</p> Signup and view all the answers

    What is the recommended method for cooling a patient with heat stroke?

    <p>Using cooling blankets and ice packs (A)</p> Signup and view all the answers

    Which of the following is no longer recommended for treating poison ingestion due to the risk of aspiration?

    <p>Syrup of ipecac (A)</p> Signup and view all the answers

    What is the recommended initial treatment for a patient who has ingested a corrosive agent?

    <p>Dilute with milk or water (A)</p> Signup and view all the answers

    What is the potential complication of using cathartics in poison ingestion cases?

    <p>Electrolyte imbalances (B)</p> Signup and view all the answers

    Which drug is the antidote for opioid overdose?

    <p>Naloxone (A)</p> Signup and view all the answers

    What clinical manifestation is associated with opioid overdose?

    <p>Pinpoint pupils (D)</p> Signup and view all the answers

    Which of the following is NOT a priority in the management of poisoning?

    <p>Resource allocation for long-term care (D)</p> Signup and view all the answers

    What should be done if the poison is unknown?

    <p>Call the local poison control center (D)</p> Signup and view all the answers

    Which of the following symptoms is NOT commonly associated with hepatic failure?

    <p>Hemorrhagic bullae (A)</p> Signup and view all the answers

    What is the recommended first step in the management of a snake bite?

    <p>Remove constrictive items (D)</p> Signup and view all the answers

    Which treatment is most effective for snake bites when administered within 4 hours?

    <p>Antivenin (B)</p> Signup and view all the answers

    What symptom signifies the onset of serum sickness following treatment for envenomation?

    <p>Fever and rash (B)</p> Signup and view all the answers

    What is the primary method of infection for anthrax?

    <p>Skin contact (B)</p> Signup and view all the answers

    Which class of medication is contraindicated within 6 to 8 hours after a snake bite?

    <p>Corticosteroids (D)</p> Signup and view all the answers

    For monitoring purposes, how often should the circumference of an extremity be measured after a snake bite?

    <p>Every 30-60 minutes (D)</p> Signup and view all the answers

    Which antibiotic is NOT mentioned as a treatment option within 24 hours of anthrax exposure?

    <p>Azithromycin (C)</p> Signup and view all the answers

    What is the recommended duration for treatment with Cipro or Doxy for individuals exposed to cutaneous anthrax?

    <p>60 days (B)</p> Signup and view all the answers

    In emergency triage, which category represents the most urgent condition requiring continuous nursing surveillance?

    <p>Resuscitation (C)</p> Signup and view all the answers

    Which triage category should be prioritized second, involving significant injuries that require medical care but are not immediately life-threatening?

    <p>Yellow (B)</p> Signup and view all the answers

    Which of the following is an example of a condition categorized as 'Black' in triage?

    <p>Patients with no pulse and cardiac arrest (D)</p> Signup and view all the answers

    How often should patients categorized as 'Emergent' be reassessed according to the Emergency Severity Index?

    <p>Every 15 minutes (D)</p> Signup and view all the answers

    In a disaster triage scenario, what does the 'Green' category represent?

    <p>Minimal injuries with treatment delay possible (B)</p> Signup and view all the answers

    What does a 'Red' category designation in disaster triage indicate?

    <p>Life-threatening but survivable conditions (C)</p> Signup and view all the answers

    What is the primary goal of triage in disaster situations?

    <p>To do the most good for the most people. (A)</p> Signup and view all the answers

    Which symptom is commonly associated with heat stroke?

    <p>Hot, dry skin (A)</p> Signup and view all the answers

    What is the priority intervention when treating a patient with heat stroke?

    <p>Remove clothing and apply cooling blankets (D)</p> Signup and view all the answers

    What common appearance might an extremity affected by frostbite exhibit?

    <p>Mottled blue-white or white (C)</p> Signup and view all the answers

    Which risk factor might increase the likelihood of developing frostbite?

    <p>Homelessness or mental health disorders (A)</p> Signup and view all the answers

    What is an important consideration when rewarming a frozen extremity?

    <p>Warm gradually over 30-40 minutes (C)</p> Signup and view all the answers

    Which sign is indicative of advanced heat stroke progression?

    <p>Cerebral edema and seizures (B)</p> Signup and view all the answers

    What should be avoided during the rewarming phase of frostbite treatment?

    <p>Immersing the extremity in hot water (C)</p> Signup and view all the answers

    Why is monitoring potassium levels important in patients with frostbite?

    <p>To detect potential hyperkalemia from damaged cells (A)</p> Signup and view all the answers

    What should never be administered in cases of corrosive poisoning?

    <p>Syrup of ipecac (C)</p> Signup and view all the answers

    Which symptom is NOT typically associated with opioid overdose?

    <p>Dysphagia (C)</p> Signup and view all the answers

    What is the primary focus in the management of poisoning?

    <p>Control airway and ventilation (D)</p> Signup and view all the answers

    Which antidote is correctly matched with the substance it treats?

    <p>Naloxone for heroin (C)</p> Signup and view all the answers

    What common rationale is given for the avoidance of cathartics in poisoning cases?

    <p>They may lead to serious electrolyte imbalances (A)</p> Signup and view all the answers

    What initial intervention is critical when managing a patient who has ingested a poison?

    <p>Contact local poison control center (B)</p> Signup and view all the answers

    Which clinical manifestation is expected after ingestion of poison?

    <p>Oral pain (A)</p> Signup and view all the answers

    For patients who are obtunded and have ingested poison, which procedure is applicable within 1 hour of ingestion?

    <p>Gastric lavage (D)</p> Signup and view all the answers

    Which triage category signifies conditions that require immediate attention but can be reassessed after 15 minutes?

    <p>Emergent (A)</p> Signup and view all the answers

    What is the primary focus of disaster triage?

    <p>Provide care to as many individuals as possible (D)</p> Signup and view all the answers

    In the Emergency Severity Index, what level of triage is designated for patients that require continuous nursing surveillance?

    <p>Level 1 (B)</p> Signup and view all the answers

    What characterizes a 'Black' triage designation?

    <p>Injuries have a very slim chance of survival even with care (B)</p> Signup and view all the answers

    If a patient has soft tissue injuries that require medical attention but can wait, which triage category do they belong to?

    <p>Yellow (B)</p> Signup and view all the answers

    What is the reassessment interval for patients classified as 'Urgent' in the triage system?

    <p>Every 30 minutes (A)</p> Signup and view all the answers

    For individuals exposed to cutaneous anthrax, what is the recommended duration for antibiotic treatment with Cipro or Doxy?

    <p>60 days (D)</p> Signup and view all the answers

    Which of the following is an example of a condition that falls under the 'Red' category in triage?

    <p>Sucking chest wound (D)</p> Signup and view all the answers

    What is the first step in the management of a snake bite to prevent further injury?

    <p>Remove constrictive items (C)</p> Signup and view all the answers

    Which of the following symptoms is a classic sign of serpent envenomation?

    <p>Edema and ecchymosis (C)</p> Signup and view all the answers

    What is the most effective treatment for a snake bite within the first 4 hours?

    <p>Antivenin (B)</p> Signup and view all the answers

    What is the contraindication for corticosteroid use following a snake bite?

    <p>May inhibit antibody production (B)</p> Signup and view all the answers

    For a patient suspected of having anthrax, what precaution is essential to prevent exposure to others?

    <p>Standard precautions are obligatory (D)</p> Signup and view all the answers

    What is a common initial symptom of serum sickness after treatment for snake envenomation?

    <p>Fever starting on the chest (C)</p> Signup and view all the answers

    When should the circumference of an injured extremity be remeasured to monitor for compartment syndrome after a snake bite?

    <p>Every 30 to 60 minutes (D)</p> Signup and view all the answers

    Which antibiotic is NOT recommended within 24 hours of potential anthrax exposure?

    <p>Amoxicillin (B)</p> Signup and view all the answers

    Flashcards

    Heat Stroke Symptoms

    Heat stroke involves confusion, altered mental state, hot dry skin, cerebral edema, and loss of sweating ability.

    Heat Stroke Treatment Priority

    Quickly cool the body to below 102°F within an hour, using fluids, cooling measures, and monitoring vital signs.

    Frostbite Pathophysiology

    Frostbite is freezing of body fluids, causing tissue damage from cold temperatures.

    Frostbite Symptoms

    Frostbite symptoms include a hard, cold, numb extremity, appearing white or blue-white.

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    Frostbite Risk Factors

    Frostbite risk is elevated for those exposed to extreme cold, including people with mobility issues, mental health disorders, or substance abuse.

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    Frostbite Rewarming Method

    Controlled, gradual rewarming over 30-40 minutes, with pain management as needed.

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    Frostbite Rewarming Do NOT

    Do NOT use hot water, massage, or wet gauze.

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    Frostbite Potassium Lab

    Assess for potential hyperkalemia due to K release after frostbite injury.

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    Hepatic failure symptoms

    Symptoms include right upper quadrant (RUQ) pain, coagulopathies, lethargy, encephalopathy, sweating, enlarged liver, low blood sugar, upset stomach, and metabolic acidosis.

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    Snake bite treatment: Initial action

    Remove constricting items, apply warmth, cleanse wound, apply light sterile dressing, and immobilize the injured area below heart level.

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    Snake bite monitoring

    Measure the circumference of the affected extremity every 30-60 minutes for 48 hours to monitor for compartment syndrome.

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    Snake bite contraindication

    Corticosteroids are contraindicated in the first 6-8 hours after a snake bite because they may decrease antibody production and hinder antivenin effectiveness.

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    Snake bite treatment timing

    Antivenin is most effective within 4 hours and should be administered within 12 hours of the snake bite.

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    Anthrax infection routes

    Anthrax can infect through skin contact, ingestion, or inhalation.

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    Anthrax precautions after death

    Cremation is recommended after death due to anthrax spores that can remain viable for extended periods.

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    Anthrax treatment options

    Ciprofloxacin, Levofloxacin, Penicillin, and Doxycycline are treatment options for anthrax within 24 hours of exposure, for a duration of 60 days.

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    Discharge Patient Instruction

    Patients should avoid caffeine, alcohol, and tobacco due to vasoconstriction effects.

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    Ipecac Syrup Use

    Syrup of ipecac is no longer used to induce vomiting because of the risk of aspiration, especially with corrosive poisoning.

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    Corrosive Poisoning Treatment

    Dilute with milk or water. Do NOT induce vomiting. Gastric lavage is useful within 1 hour of ingestion for obtunded patients for removing the poison.

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    Activated Charcoal Use

    Activated charcoal is used to absorb ingested poisons. Give orally or via NG tube. Effective in small doses to decrease vomiting.

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    Opioid Overdose Symptoms

    Opioid overdose symptoms include pinpoint pupils, respiratory depression, dizziness, nausea/vomiting, bradycardia, hypotension, altered LOC, and pulmonary edema.

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    Opioid Overdose Treatment

    Naloxone (Narcan) is the antidote for opioid overdose.

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    Benzodiazepines Overdose Symptoms

    Benzodiazepine overdose symptoms include decreased LOC, drowsiness, confusion, slurred speech, and mimicking intoxication.

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    Benzodiazepines Overdose Treatment

    Flumazenil (Romazicon) is the antidote for Benzodiazepine overdose.

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    Anthrax Exposure Treatment

    If you are exposed to anthrax, but have no symptoms, take Ciprofloxacin or Doxycycline for 60 days. This is also the treatment for cutaneous anthrax.

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    Mass Casualty Anthrax

    In a mass casualty event, treat suspected anthrax exposure with Doxycycline and Ciprofloxacin.

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    Triage

    A system used to prioritize patients based on the severity of their injuries or illnesses.

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    Emergency Severity Index (ESI)

    A system used in emergency rooms to categorize patients into five levels of urgency based on their medical needs.

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    Level 1 Resuscitation

    The most urgent category in the ESI system, requiring immediate and continuous care.

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    Disaster Triage

    A system for prioritizing patients in a disaster situation based on the greatest good for the most people.

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    Red (Immediate) Triage

    A category in disaster triage for patients with life-threatening conditions requiring immediate care.

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    Black (Expectant) Triage

    A category in disaster triage for patients with injuries so severe that survival is unlikely, even with treatment.

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    What is heat stroke?

    A life-threatening condition where the body's heat-regulating mechanisms fail, leading to dangerously high body temperature.

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    What are the symptoms of heat stroke?

    Confusion, altered mental state, hot and dry skin, possible seizures, delirium, or coma due to brain swelling, and a lack of sweating.

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    What is the priority treatment for heat stroke?

    Rapidly cool the body to below 102°F within an hour. This includes removing clothing, applying cooling blankets, ice packs in the armpits and groin, and tepid baths.

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    Why is frostbite a problem?

    It's tissue damage caused by freezing temperatures, which can cause permanent injury to the affected area.

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    What is the best way to treat frostbite?

    Controlled and rapid rewarming for 30 to 40 minutes. Pain medication may be given during rewarming. After warming, the affected area should be protected from injury and elevated to reduce swelling.

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    What are some things NOT to do when treating frostbite?

    Avoid using hot water, massaging the area, or applying wet gauze. These can cause further damage to the tissue.

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    Poisoning: What's the #1 priority?

    The most important action in poisoning is limiting further exposure to the toxin. This might involve removing the toxin source, preventing its absorption, or diluting it.

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    Poisoning: When is gastric lavage useful?

    Gastric lavage, washing out the stomach, is only effective within the first hour of ingestion. It's only used for patients who are very drowsy or unconscious (obtunded).

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    Activated Charcoal for Poisoning

    Activated charcoal absorbs toxins in the digestive system, preventing their absorption into the bloodstream. It's given orally or via a tube into the stomach (NG tube).

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    Opioid Overdose: What's the classic sign?

    Pinpoint pupils are a characteristic sign of opioid overdose. These pupils are very small and constricted, almost like pinpricks.

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    Opioid Overdose: What's the antidote?

    Narcan (Naloxone) is the specific antidote that reverses the effects of opioid overdose. It quickly blocks the effects of opioids in the brain.

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    Benzodiazepine Overdose: What's the antidote?

    Flumazenil (Romazicon) reverses the effects of benzodiazepine overdose. It blocks the action of these medicines at their receptors in the brain.

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    Corrosive Poisoning: Do you induce vomiting?

    Never induce vomiting after ingesting a corrosive substance. It causes further damage on the way up and down the digestive system.

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    Poisoning: What's the overall goal?

    The main goal is to remove or inactivate the poison, minimize organ damage, and support the patient's vital functions.

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    Hepatic Failure: What to Look For

    Hepatic failure can cause coagulation problems, lethargy, and encephalopathy.

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    Hepatic Failure Antidote

    Acetylcysteine (Mucomyst) is an antidote for acetaminophen overdose, which can cause liver damage.

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    Snake Bite Common Time

    Snake bites most often occur during daylight hours and early evening in the summer months.

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    Snake Bite: Immobilization

    Immobilize a snake bite BELOW heart level.

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    Snake Bite: Circumference Monitoring

    Measure the circumference of the injured extremity every 30-60 minutes for 48 hours to monitor for compartment syndrome.

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    Anthrax Transmission

    Anthrax doesn't spread from person to person.

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    Anthrax Treatment

    Ciprofloxacin, Levofloxacin, Penicillin, and Doxycycline are used to treat anthrax within 24 hours of exposure.

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    Mass Casualty Anthrax Treatment

    In a mass casualty event, treat suspected anthrax exposure with Doxycycline and Ciprofloxacin.

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    Study Notes

    Heat Stroke

    • Pathophysiology: Failure of the body's heat-regulating mechanisms
    • Signs and Symptoms (S/s): Confusion, altered mental status, hot dry skin, cerebral edema (leading to seizures, delirium, or coma), anhidrosis (lack of sweating)
    • Management: IV fluids, cooling (slowly to <102°F within 1 hour), remove clothing, ice packs, cooling blankets, continuous temperature monitoring, strict I&O (input and output), 12-lead EKG, monitor cardiac rhythm, and frequent LOC and vital sign assessment. Na+ and K+ replacement due to hyponatremia and hypokalemia.
    • Priority Interventions: ABCs (airway, breathing, circulation) first, remove clothing, apply cooling measures, potentially cold IV fluids.

    Frostbite

    • Pathophysiology: Tissue freezing from exposure to extreme cold, affecting both intracellular and extracellular fluids.
    • Signs and Symptoms (S/s): Frozen extremities (hands, feet, nose, ears, cheeks) appear hard, cold, and insensitive to touch, often white or mottled blue-white.
    • Risk Factors (RF): Occupational or recreational exposure to cold (e.g., skiing), homelessness, certain medical conditions (mental health disorders), alcoholism, or smoking, impaired mobility.
    • Management: Avoid hot water, massage, or placing wet gauze on affected area. Remove restrictive clothing/jewelry. Electrolyte monitoring, potassium levels, educate patients on vasoconstrictors (caffeine, alcohol, tobacco). Controlled and rapid rewarming is instituted. Hourly active motion and elevation to reduce swelling. Pain management.

    Poison Ingestion

    • Syrup of Ipecac: No longer used due to aspiration risk, especially for corrosive poisons.
    • Treatment: Dilute corrosive agents with milk or water. Gastric lavage, Activated charcoal, cathartics are rarely indicated for corrosive poisons. Monitor VS, F/E, CVP Monitor.
    • Clinical Manifestations: Oral pain, vomiting, ulceration, drooling, abdominal pain, and dysphagia.

    Anthrax

    • Transmission: Can spread through skin contact, ingestion, or inhalation.
    • Precautions: Standard precautions, as it does not spread from person-to-person. Avoid aerosolizing, care in handling contaminated materials.
    • Treatment: Ciprofloxacin, Levofloxacin, Penicillin, or Doxycycline for 60 days.

    Triage

    • Purpose: Determine severity of illness to prioritize treatment in large-scale emergencies.
    • Categorization: Levels 1 (most urgent/resuscitation), 2(urgent), 3(urgent [not immediately dying]), 4(non-urgent), and 5(minor/fast-track). Categorized based on the need for intervention.

    Snake Bites

    • Clinical Manifestations: Swelling, edema, echymosis (bruising), hemorrhagic bulla (blisters), necrosis (tissue death) at the site of envenomization.
    • Treatment: Remove constrictive items, clean the wound, apply a light sterile dressing, immobilize below the heart. Tetanus and analgesics may be required. Labs (CBC, UA, coagulation studies) and monitoring.

    Other (general):

    • Compartment Syndrome: Measure extremity circumference every 30-60 minutes for 48 hours to monitor for compartment syndrome in suspected injuries.

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    Description

    This quiz covers the critical aspects of heat stroke and frostbite, focusing on their pathophysiology, signs and symptoms, and management strategies. Test your knowledge on the priority interventions required in these medical emergencies and the appropriate care techniques for affected patients.

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