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This is a classic presentation of Neonatal Respiratory Distress Syndrome (RDS), also called Hyaline Membrane Disease:
- Prematurity (36 weeks — late preterm)
- Grunting, retractions, nasal flaring, tachypnea
- Ground glass appearance + air bronchograms on CXR = pathognomonic of RDS
Pathophysiology: Deficiency of surfactant (produced by Type II pneumocytes from ~24 weeks, mature by ~35 weeks). Surfactant reduces alveolar surface tension. Without it:
\[\text{Surface tension} \uparrow \Rightarrow \text{Alveolar collapse} \Rightarrow \text{V/Q mismatch} \Rightarrow \text{Hypoxia}\]
- Treatment: Exogenous surfactant (beractant, poractant alfa) via endotracheal tube + respiratory support (CPAP/mechanical ventilation)
- Prevention: Antenatal corticosteroids (betamethasone 12 mg IM × 2 doses, 24 hrs apart) if delivery expected before 34 weeks — accelerates fetal lung maturity
J Limited makes furniture with a mark-up of 40%. A job 10 km away involves: Materials $400; Labour $240; Travel $2 per km each part of journey. What price will the company quote?
Option D ($952) is correct.
Travel = 10 km each way = 20 km × $2 = $40
Total cost = $400 + $240 + $40 = $680
Quoted price = $680 × 1.40 = $952
Three adults—R, S, and V—will be traveling in a van with five children—F, H, J, L, and M. The van has a driver's seat and one passenger seat in the front, and two benches behind the front seats, one bench behind the first. Each bench has room for exactly three people. Everyone must sit in a seat or on a bench, and seating is subject to the following restrictions: An adult must sit on each bench. Either R or S must sit in the driver's seat. J must sit immediately beside M.
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