"Which one of the following Chapman's reflex points is associated with the appendix?A) The tip of the eleventh right ribB) The tip of the twelfth right ribC) The spinous process of L1D) The spinous process of L2E) The spinous process of T12"

Answers

Answer 1

The  The Chapman's reflex point associated with the appendix is B) The tip of the twelfth right rib. associated with the appendix is B) The tip of the twelfth right rib.

Chapman's reflex points are specific points on the body that are associated with various organs and tissues.

These points can be palpated to help diagnose and treat dysfunction in those areas.

The spinous process of L1 is associated with the appendix, which is located in the lower right quadrant of the abdomen.
If a practitioner suspects an issue with a patient's appendix, they may check the spinous process of L1 for tenderness or other signs of dysfunction.
Chapman's reflex points are specific locations on the body that correspond to various organs and tissues. They are used by practitioners of osteopathic medicine to diagnose and treat various conditions.

In the case of the appendix, the associated reflex point is located at the tip of the twelfth right rib.
By understanding the specific Chapman's reflex point for the appendix (the tip of the twelfth right rib), osteopathic practitioners can more accurately diagnose and treat issues related to this organ.

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Related Questions

David woke up in the middle of the night because he smelled smoke. This most likely caused him to experience:
A) insomnia.
B) the flight-or-fight response.
C) the adaptation syndrome.
D) the resistance response.

Answers

The correct answer (b) is the flight-or-fight response. The flight-or-fight response is a physiological reaction triggered by the perception of danger.

When faced with a threat, such as the smell of smoke, the body prepares to fight or flee the danger by releasing adrenaline and other hormones. This results in increased heart rate, heightened alertness, and increased muscle tension, all designed to help the individual respond quickly and effectively to the threat.

In David's case, the smell of smoke activated his flight-or-fight response, causing him to wake up suddenly in a state of heightened alertness.

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On January 1, an underweight college student, 5'4" tall with a BMI of 5, sets
a long-term goal to achieve a normal body composition within six months.
Which of these iS the best benchmark for him to set for himself?

Answers

Answer:

A) Gain 5 pounds by the end of February

B) gain 40 pounds by the end of summer

C)lode 20 pounds by the end of the year

D) gain 20 pounds by the end of the month

Explanation:

First we have to know what BMI is and when we see the definition  means "Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters."

Now that we know that, We are now going to find the answer so when we look at the bmi chart down below it says that the weight of 5'4 would be 162.5 Lbs. Knowing that, We know that he wants to "achieve a normal body composition within six months" So we also know that D is wrong because that is not healthy and rememeber he wants to have a healthy weight he doesnt want to gain 20 pounds by the end of the month because he says he wants to maintain a normal body composition within six months. C is unhealthy because remeber he wants to stay healthy he doesnt want to be to be underweight he is trying to gain weight, And B is wrong because it is unhealthy and you don't want to gain 40 pound in 4 months because gaining that much weight can cause health problems including different cancers and maybe even diabetes. So we know that the answer is A because he wants to maintain a constant weight a healthy weight. So he Gained 5 pounds by the end of February.

plz help me owo thanks im really stress

plz help me owo thanks im really stress

Answers

i’m stressed as well

Foods believed to provide specific health benefits beyond basic nutrition are known as __________.

Answers

They are known as functional foods.

body composition is best improved or maintained by participating in a running program.

Answers

Enhancing body composition requires both exercise and healthy eating.

How is body composition best improved?

Exercises and proper nutrition are essential for enhancing body composition. A smart first step is to keep your protein, fibre, and calorie intake under control. Many forms of exercise can aid in fat loss, but weightlifting is the most effective approach to build muscle.

Body composition affects all fitness components in varying degrees. Lean body mass gain aids in the development of power and strength. Size of the muscle has an impact on strength and power. Hence, an athlete may exert more effort over a given amount of time if their lean body mass increases.

The evidence is unequivocal: running enhances your body composition, which enhances performance. When participants eat appropriately and give their bodies enough time to relax and recover, running has been shown to be a reliable method for reducing body fat with little loss of muscle.

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what should you do to stay safe before a wildfire starts? select three correct answers

Answers

Answer:

clean up dry grasses around, clean roof, apply fire hydrants

Explanation:

Make sure you have escape routes and an emergency ready to go backpack

Help, this looks simple yet I am confused.

Sarah, who is 15 years old, is performing a step challenge to strengthen her cardio-respiratory endurance. She commences by timing her resting heart rate for 6 seconds, then adds a 0 to the end of the number of heartbeats she counts . Sarah then after times her exercise heart rate for 6 seconds, then adds a 0 to the end of the number of heartbeats she counts, after she completes her 3-minute step challenge. She then rests for 1 minutes and after that minute she times her recovery heart rate for six seconds, then adds a 0 to the end of the number of heartbeats she counts. What are Sarah's heart rates throughout her resting, exercise, and recovery heart rate?
-----------------------------------------------------------------------------------------------------------------------------
Example: His resting heart rate is 7 beats throughout 6 seconds, add a 0 to the 7, which makes her resting heart rate 70.
-----------------------------------------------------------------------------------------------------------------------------
Questions:

Resting Heart Rate: __

Exercise Heart Rate:__

Recovery Heart Rate:__


please help

Answers

Your example shows that you add a 0 to the end of how many heartbeats you get throughout 6 seconds which was 7 so that would give you 70, however in Sarah's example it doesn't tell us how many times her heartbeats in 6 seconds so I can't give you the answer, but if that's how the question is supposed to be then the answer would be 60 for all.

I hoped that helped! Let me know if you have any questions!

Have a great day/night! :)

The liver and pancreas secrete enzymes which help digestion in the:
[] stomach
[] small intestine
[] large intestine
[] colon

Answers

Answer:

The answer is Small intestine.

Explanation:

Liver and pancreas produce enzymes which breaks down carbohydrate, protein and fat into smaller molecules. It takes place in duodenum, which is the first part of small intestine.

(Correct me if I am wrong)

Which of these activities is the most intentional? Listening Hearing​

Answers

Answer:

Listening

Explanation:

Hearing is simply the physical process of perceiving sound while listening involves understanding and responding to what you've heard.

Explain consequences of teenage pregnancy on individual and parents

Answers

Explanation:

Teenage pregnancies are associated with increased rates of alcohol abuse and substance abuse, lower educational level and reduced earning potential in teen fathers. Eighty percent of teen mothers must rely on welfare because they lack the knowledge and skills to provide for the baby.

hope it helps.stay safe healthy and happy.

What is the BEST definition of an allergy?
A: the body’s inappropriate immune reaction to a certain substance

B: a reaction to pollen, mold, dust mites, pets, insect stings, or foods

C: the body’s immune reaction to an unwanted invader

D: sneezing, coughing, watery eyes, or a rash caused by a certain substance

Answers

I think the answer is D

Answer:

A

Explanation:

an allergy is a abnormal response to a harmless substance

Archery Vocab: What is an Index Vane

Answers

Answer:

The odd colored vane on an arrow is used to index the orientation of the arrow on the bow.

what lifestyle factor is the greatest contributor to societal health problems today?

Answers

Answer:

Smoking

Explanation:

In today's world, a sedentary lifestyle is the most significant contributor to societal health problems. A sedentary lifestyle refers to a lifestyle that involves sitting or lying down for extended periods of time with little to no physical activity.

It is a way of life that is typical in many societies, including the United States. Inactivity has a negative impact on overall health and contributes to a variety of chronic illnesses and diseases, including obesity, diabetes, heart disease, and some forms of cancer. Obesity is one of the most significant health problems associated with a sedentary lifestyle. The majority of the population in developed countries is overweight, and obesity rates are increasing worldwide.

Obesity is associated with several chronic diseases and disorders, including cardiovascular disease, type 2 diabetes, hypertension, and some cancers. A sedentary lifestyle also has a detrimental effect on mental health. Depression, anxiety, and other mental health issues have been linked to a lack of physical activity and exercise. The sedentary lifestyle has become a norm for many, which may lead to people not being physically active or living a healthy lifestyle.

It is critical to promote physical activity and healthy living to combat this problem. Encouraging physical activity and incorporating it into daily routines is essential. It is vital to recognize that a sedentary lifestyle is not sustainable in the long run. Being physically active can improve physical and mental health and prevent a variety of chronic illnesses and diseases.

In conclusion, a sedentary lifestyle is the greatest contributor to societal health problems today, and it is essential to promote physical activity and healthy living to reduce the impact on individuals' health.

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Which organ systems work together to supply nutrients and oxygen to the brain?

Answers

Answer:

The circulatory system provides your brain with a constant supply of oxygen-rich blood while your brain regulates your heart rate and blood pressure. Even seemingly unrelated body systems are connected

The circulatory system provides your brain with a constant supply of oxygen-rich blood while your brain regulates your heart rate and blood pressure.

What is Circulatory system?

The circulatory system helps fight off disease, helps the body maintain a normal body temperature, and provides the right chemical balance for the body to achieve homeostasis, or a state of stability among all its systems.

The elastic arteries are the aorta and pulmonary arteries. In order to handle the surge and contraction caused by the blood pushing through with each heartbeat, they must be elastic since they get blood directly from the heart.

Deoxygenated blood is delivered to the lungs through pulmonary arteries from the right ventricle. They are the only arteries that transport blood that has lost oxygen.

Therefore, The circulatory system provides your brain with a constant supply of oxygen-rich blood while your brain regulates your heart rate and blood pressure.

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A coal-fired power plant was built in a small, rural community twenty years ago and is still in use today. Doctors in the area begin seeing a large number of patients with lung diseases. Which citizens are most likely at risk?

A.
people whose relatives live very close to the power plant

B.
people whose relatives can pass on immunity to lung disease

C.
people whose genetic composition protects them from air and water pollution

D.
people whose genetic composition can make their lungs more vulnerable to disease

Answers

D because that’s the only one that has to do with the topic

Answer:

d

Explanation:

The people who create the SATs tend to randomly sample students based on the US Census data in an attempt to ensure:
a. Internal validity
b. Generalizability
c. Reliability
d. Independent variability

Answers

The people who create the SATs tend to randomly sample students based on the US Census data in an attempt to ensure generalizability. This means that the test results can be applied to a broader population, making the SAT a more accurate measure of students' abilities across different demographics.

The correct answer is b

The correct answer is b. Generalizability. The people who create the SATs tend to randomly sample students based on the US Census data in an attempt to ensure that the results of the test can be generalized to the larger population of students in the United States.

This helps to ensure that the test accurately measures the skills and knowledge of a broad range of students and can be used to make meaningful comparisons across different groups of students. It is important to note, however, that while random sampling can improve generalizability, it is not a guarantee of validity, reliability, or independent variability.

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Joanna is a very talkative child. Her mother is a quiet person and often finds Joanna's endless chatter exhausting
They clearly have different temperaments. How should this shape how the mother parents?
O
She should accept that Joanna is talkative and just ignore it.
O
She should change her temperament so that Joanna does not feel judged.
O
She should recognize that this is Joanna's nature while setting some boundaries.
O
She should-be sure to punish Joanna every time she won't stop talking when asked.

please help me

Answers

Joanna is talkative, so she should simply put up with it.

To prevent Joanna from feeling judged, she ought to adjust her demeanor.

Social emotions are those that are influenced by thoughts.

What does psychology define as an emotion?

Emotion is described as "a complicated reaction pattern, encompassing experiential, behavioral, and physiological factors," by the American Psychological Association (APA). The way people react to things or circumstances that are particularly relevant to them is through their emotions.

Social emotions, as "experienced, recalled, expected, or imagined at first hand," are emotions that are influenced by the ideas, feelings, or behaviors of other people. Examples include humiliation, guilt, shame, envy, pride, envy, and elevation.

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Provide three reasons for the government to intervene
the health care market.

Answers

Answer:

There are several reasons why the government may intervene in the health care market. Here are three detailed reasons:

1. Market failures and inefficiencies: Market failures, inefficiencies and distributional issues (equity) are the primary reasons for government intervention in the health care market. In many markets, there is a less-than-optimal allocation of resources from society's point of view so governments intervene to influence the level of production or consumption.

2. Regulate the marketplace: Government intervention in the health care market is required to regulate the marketplace, establish the parameters for prices, and allocate and fund scarce resources.

3. Improve access to essential medicines: Access to quality essential medicines at affordable price to patients in the healthcare market is one of the main goals of universal health coverage and health-related sustainable development goals. Regulating pharmaceutical pricing system is one of the key strategies to ensure access to essential medicines.

Need help asap please

What could this be caused by ->

On Friday I had 3 nose bleeds and on Saturday I had only 2. While having those nose bleeds I began to get very light headed, my vision started to blur, and ears started to ring very bad. Eventually it started to feel like my head became a stress ball. I had asked everyone that I new what is could be caused by but they just said that it could be because my iron is to low or I am not drinking enough water but I knew that it was neither of those things. I even talked to 2 nurses and they said the same exact thing

All I want to know is what is could be caused by and how I can fix it because over the past few years it has gotten worse and i just don't know what to do because every one is saying the same exact thing

Answers

Nosebleeds can be caused by really dry weather of any temperature. Your symptoms may be unrelated, but since they happened simultaneously, we'll assume they're related. Depending on the amount of blood loss, that can cause dizziness. Since your symptoms are so broad, it's hard to know for sure. What were you doing during when the nosebleeds started. I sometimes get these symptoms, sans nosebleeds if I haven't eaten for a while, or if I go from light activity to heavy activity. I might try taking Acetaminophen or Ibuprofen to help with the headaches, but be careful and ASK FIRST. Overall, it probably isn't to serious and may get better on it's own. If symptoms persist, seek the help of your guardian and doctor. Hope you start feeling better.

its unlikely that your nosebleeds are caused by an iron deficiency but rather the other way round. like the person who also answered this said, it could very well be from the drier weather environment- and some people exposed to that could very well be more susceptible to having frequent/consistent nosebleeds at the time. when we lose a certain amount of blood it may cause in some of the resulting symptoms: lightheadedness, dizziness, fatigue, etc.

do you realise if these nosebleeds occur at a particular time of the year? if not, do they happen sporadically throughout the whole year? it could very well be associated with the weather.

if these are sporadic throughout an entire year, do you notice any other household members experiencing the same issue? your doctor may ask if there is a bleeding disorder in your family history- but this is not as common.

what I can recommend as general advice is similar to the other answer. have an NSAID (ibuprofen, aspirin) on hand to help with headaches, and if symptoms continue to occur or you suspect an iron deficiency, consult a doctor or seek out parental/guardian assistance about this issue so it can get fixed.

feel better soon!

can a baby stay in a stomach for 4 months?

Answers

Answer:

well it is in the stomach for 9 moths so.......

Explanation:

Answer:

I'm not sure what you're asking but here are some answers to help you:

-

All premature babies are small, require complex medical care, and may face serious complications both in the NICU and at home. A baby born 3 to 4 months early, though, will face far different complications from a baby born 1 to 2 months early.

-

By all means, let your sleeping baby sleep. Once babies learn to roll over onto their tummies, a milestone that typically happens between 4 and 6 months but can be as early as 3 months, there's usually no turning them back (especially if they prefer snoozing belly-down)

I hope this helped :)

during a twitch in a skeletal muscle fiber, what is happening in the latent period?

Answers

Answer:

The events of the latent period include the events of excitation contraction coupling, most notably the release of calcium from the sarcoplasmic reticulum.

There is also an apparent lack of muscle activity.

Explanation:

I hope this helps!

the nurse teaches a patient about bethanechol [urecholine]. which statement by the patient requires an intervention by the nurse?

Answers

The nurse teaches a patient about bethanechol [urecholine]. Which statement by the patient requires an intervention by the nurse? Bethanechol [Urecholine] is a drug used to treat urinary retention, which helps to increase the contractility of the detrusor muscle.

While educating patients about the use of this drug, the nurse should consider several key points to ensure the safety and efficacy of the drug. One of the most significant parts of drug education is to check the patient's understanding and their ability to take the drug safely and effectively. The patient's statement should be assessed to make sure they understand the treatment and drug indications. Here are some possible statements from the patient that could require an intervention by the nurse:

Statement 1: "I don't need to take this medication if I am not having problems." Intervention: The nurse must explain to the patient that this medication should not be stopped or taken as needed. It should be taken exactly as prescribed, whether symptoms are present or not.

Statement 2: "I can take this medication with food." Intervention: The nurse should tell the patient that the medication should be taken on an empty stomach, at least one hour before meals and two hours after meals.

Statement 3: "I can take two doses of this medication together if I missed the last one." Intervention: The nurse must inform the patient that they should not take two doses of the medication together. If a dose is missed, the patient should take the medication as soon as possible, but they should not take two doses together. Taking a double dose can increase the risk of adverse effects.

Statement 4: "I should avoid drinking water before taking this medication." Intervention: The nurse should inform the patient that drinking enough water is important while taking this medication. Dehydration may cause more problems while taking this drug. The patient must be advised to drink sufficient amounts of water or other fluids that can help keep the body hydrated.

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Explain the 3 alternative decision making style leaders and compare them , mention when they are effective and least effective in the medical field.

Answers

The three alternative decision-making styles in leadership are autocratic, democratic, and laissez-faire.

Autocratic style: In this style, the leader makes decisions without consulting others and maintains full control over the decision-making process. It is effective in situations that require quick and decisive actions, such as emergencies or critical medical procedures. However, it may be least effective in fostering collaboration and teamwork, limiting input from other healthcare professionals, and potentially leading to decreased job satisfaction among the team.

Democratic style: This style involves involving the team members in the decision-making process, gathering input, and considering their perspectives. It is effective in situations that require collaboration, such as developing treatment plans or addressing complex medical cases. In the medical field, the democratic style can promote teamwork, boost morale, and enhance job satisfaction. However, it may be least effective when time is limited or during emergency situations where immediate action is crucial.

Laissez-faire style: This style involves delegating decision-making authority to the team members, allowing them to make choices and take responsibility for their actions. It is effective in situations where team members are highly skilled, experienced, and self-motivated, such as research projects or independent practice areas. However, in the medical field, the laissez-faire style may be least effective in situations that require strong leadership and guidance, such as critical emergencies or when working with less-experienced team members.

Overall, the effectiveness of each decision-making style in the medical field depends on the specific context and circumstances. Different situations may call for different styles, and effective leaders should be able to adapt their approach accordingly to promote optimal outcomes and maintain a balance between efficiency, collaboration, and accountability.

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what digests faster: whole wheat bread or white rice?

Answers

Rice is easier to digest because of its starch content. Roti digests slowly as compared to rice. However, due to slow digestion roti keeps you full for longer.

the losing team in a baseball game scored 2 runs

Answers

The inequality that represents the number of runs, r , that the winning team could have scored is B. R > 2.

What is the inequality about?

In order to win a baseball game, a team must score more runs than the other team. In this case, the losing team scored 2 runs. Therefore, the winning team must have scored more than 2 runs.

The inequality R > 2 represents all the possible values of R that are greater than 2. This includes all the integers greater than 2, as well as all the decimals and fractions greater than 2.

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Complete question:

The losing team in a baseball game scored 2 runs. Which inequality represents the number of runs, r , that the winning team could have scored? A. R?2 B. R>2 C. R<2 D. R=2

1. Twelve-year-old Mikal is paralyzed. He uses his mouth to control his computer. Which adaptive computer tool is Mikal using?
speech recognition software
sip and puff system
hearing aid
speech-generating device

Answers

Mikal is likely using a speech-generating device (SGD), which is an adaptive computer tool that allows him to use his mouth to control his computer.

What is SGD?

Stochastic Gradient Descent (SGD) is a popular optimization algorithm used to find the optimal parameter values for a given function. It is a variant of gradient descent, which works by calculating the gradient of the loss function with respect to the parameters at each iteration. The parameters are then updated according to the gradient, thus leading to the optimal parameters.

An SGD is a device that translates text into a synthesized speech output, allowing people with severe speech impairments to communicate. SGDs are typically operated using a keyboard, switch, joystick, head pointer, or other accessibility device.

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According to the presentation, skill-related fitness CANNOT be improved by __________.
A.
heredity
B.
practice
C.
specificity
D.
all of the aboveWhy do exercise needs vary between individuals?

Answers

Answer:

A

Explanation:

What is nutrition, and why does it matter?

Answers

Nutrition is a critical part of health and development. Better nutrition is related to improved infant, child and maternal health, stronger immune systems, safer pregnancy and childbirth, lower risk of non-communicable diseases (such as diabetes and cardiovascular disease), and longevity.

Which answer best describes the greenhouse effect?


A O The greenhouse effect occurs because short wave radiation from the earth is trapped by carbon dioxide and water vapor in the atmosphere creating a warming of the earth and the atmosphere.

B O The greenhouse effect occurs because long wave radiation from the earth is trapped by carbon dioxide and water vapor in the atmosphere creating a warming of the earth and the atmosphere.

C O The greenhouse effect occurs because short wave radiation from the sun is trapped by carbon dioxide and water vapor in the atmosphere creating a warming of the earth and the atmosphere.

D O The greenhouse effect occurs because long wave radiation from the sun is trapped by carbon dioxide and water vapor in the atmosphere creating a warming of the earth and the atmosphere.


I don't need explanation just answer please :D

sorry I didn't pick the right subject I don't know what it should be.

Answers

Answer:

B O The greenhouse effect occurs because long wave radiation from the earth is trapped by carbon dioxide and water vapor in the atmosphere creating a warming of the earth and the atmosphere.

The idea if volleyball took off from people playing at what location

Answers

Answer:

Santa Monica, California

Explanation: The game was changed from 21 to 15 points. 1920s: There are unconfirmed whispers of men's teams playing on the beach in Hawaii, but most accounts place the sport's origin in Santa Monica, California where the first Volleyball courts are put up on the beach at the Playground.

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The $1.000 face value bonds of Galaxies International have coupon of 5.5 percent and pay interest semiannually. Currently, the bonds are quoted at 98.02 and mature in 12 years a. What is the current price of the bond? b. What is the yield to maturity? examples and non examples of compound The Sugar Sweet Company will choose from two companies to transport its sugar to market. The first company charges $4995 to rent trucks plus an afee of $200.50 for each ton of sugar. The second company charges $6500 to rent trucks plus an additional fee of $125.25 for each ton of sugar.For what amount of sugar do the two companies chargethe same?tonsWhat is the cost when the two companies charge thesame?Question 3 ___tons??$____?? Who are the presidents in order? 11 pointWrite the fraction as an equivalent decimal.273100type your answer... of the options below, what is the least accurate word to use to describe what happens when one car hits another? A sheet metal screw holding a metal body panel has pierced the insulation of a power wire and is touching the copper strands. this is known as a:_________ For the numbers 101 to 199 , write a number that is A multiple of 10 , 20 and 30 Why is it important to maintain the ph of blood and tissue fluids within normal limits? What factor determines the trait of an organism A order of nucleotides in the DNA molecule.B location of the DNA molecule within the cell.C length of the original DNA strand.D number of times the protein has already been produced. In the poem the latin deli: an ars poetica, which description suggests that the speaker is fond of the shopkeeper? the womans plump arms resting upon the counter the womans plain wide face and ample bosom the womans look of maternal interest as others talk the womans ageless appearance and lack of prettiness explain why ozone has a larger bond angle than either water or ammonia (steric number can help with this) All cells have the same genetic information, but do not express the same genes. How is this possible? Question 14 options: The differences are due to gene expression, which can be turned on and off. Genetic material in a muscle cell is completely different from genetic material in a skin cell. Genetic material is the same in all cells in the human body, except for reproductive cells. Differences are due to major changes in genetic information from cell to cell. You expect General Motors (GM) to have a beta of 1 over the next year and the beta of Exxon Mobil (XOM) to be 1.2 over the next year. Also, you expect the volatility of General Motors to be 30% and that of Exxon Mobil to be 40% over the next year. Which stock has more systematic risk? Which stock has more total risk? O A. XOM, GM O B. XOM, XOM O C. GM, XOM O D. GM, GM please solve this with each step 4)Fill in the blanks:a. Chloroplasts contain pigments called ---------------------- and are found in ------------------cellsb. Amyloplasts contain --------------------- are found in --------------------- cellsc. Chromoplasts contain --------------------- pigments and are found in -------------------- cells For large and complex ammount of information, storing the information is best achieved by using what? F(x) = x + 1, find f(x+3) Fences August WilsonCharacter: what do we observe about the character based on what they say or do, and how others respond to them?What conflicts are present in the text? (be specific! Is it internal or external and how?)How does the action of the text engage the theme topic of Responsibility?There are 6 column fill out each column Peter is making new cushion covers for a chair. There are three sizes ofcushions on the chair. What is the surface area of the seat back cushion?21 inin10 inNet for Seat Back21 in21 in13 inseat back15 in10 in arm rest15 in15 inseat bottom3 in3 in21 in18 in21 inA. 846 square inchesB. 630 square inchesC. 320 square inchesD. 990 square inches