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Nursing Test with Solutions

1. How many milliliters are there in 6 ounces?

a)       30ml

b)       180ml

c)       240ml

d)       500ml

 

solution                 (6 oz) x (30ml / 1 oz)

                                = (6 x 30) ml

                                = 180 ml

 

2. The doctor orders 0.50G of a drug.  The label reads 1000mg per tablet.  How many tablet(s) would be required?

a)       ½ tab

b)       2 tabs

c)       2 ½ tabs

d)       12 tabs

 

solution                 0.50G is equivalent to 500mg

                                = (500mg) x (1 tablet / 1000mg)

                                = (500/1000) mg

                                = ½ tablet

 

3. The order is anticonvulsant phenytoin (Dilantin) in an oral suspension 0.2 G PO.  You are told that the bottle is labeled 125mg in 4ml.  How many millimeters should you administer?

a)       0.4ml

b)       4.0ml

c)       4.6ml

d)       6.4ml

 

solution                 0.2G is equivalent to 200mg

                                = (200mg) x (4ml / 125mg)

                                = (200 x 4) / (125) ml

                                = 6.4ml

 

4. The doctor orders digoxin (Lanoxin) elixir 0.50mg.  The label on the bottle is 0.05mg/ml.  How many millilitres are required?

a)       5ml

b)       10ml

c)       25ml

d)       50ml

 

solution                 (0.50mg) x (1ml / 0.05mg)

                                = (0.50 x 1) / (0.050) ml

                                = 10ml

 

 

5. The physician gives you an order for an antihypertensive agent, minoxidil (Loniten) 10mg PO.  You have available tablets labeled 4mg each.  How many tablets should be given?

a)       1 tab

b)       1.5 tabs

c)       2 tabs

d)       2 ½ tabs

 

solution                 (10mg) x (1 tab / 4mg)

                                = (10 x 1) / (4) tab

                                = 2 ½ tabs

 

6. The order from the physician is 1500mg of acetaminophen (Tylenol) PO.  The bottle filled with tablets is labeled 0.3G.  How many tablets are to be administered?

a)       3 tabs

b)       4 tabs

c)       5 tabs

d)       6 tabs

 

solution                 The tablets are available as 0.3G, which is equivalent to 300mg

                                (1500mg) x (1 tablet / 300mg)

                                = (1500 x 1) / (300) tablet

                                = 5 tablets

 

7. The order is 400mg PO of expectorant guaifenesin (Robitussin).  The bottle is labeled 125mg = 5ml.  How many millitres must be prepared?

a)       0.6ml

b)       3.2ml

c)       10ml

d)       16ml

 

solution                 (400mg) x (5ml / 125mg)

                                = (400 x 5) / (125) ml

                                =16ml

 

8. The order by the physician is for a sedative - hypnotic triazolam (Halcion) 0.50mg PO.  The pharmacy supply is 0.125mg tablets.  The number of tablets to be administered is?

a)       2 tabs

b)       2 ½ tabs

c)       3 tabs

d)       4 tabs

 

solution                 (0.50mg) x (1 tablet / 0.125mg)

                                = (0.50 x 1) / (0.125) tablet

                                = 4 tabs

 

9. The order is antihypertensive captopril (Capoten) 75mg PO.  The available tablets are labeled 12.5mg each.  How many tablets should be administered?

a)       4 tabs

b)       6 tabs

c)       8 tabs

d)       10 tabs

 

solution                 (75mg) x (1 tablet / 12.5mg)

                                = (75 x 1) / (12.5) tablet

                                = 6 tablets

 

10. The doctor requests that you administer nystatin suspension (Mycostatin) 800 000U to a patient.  This antifungal drug arrives in bottle labeled 5ml = 500 000U.  How many millilitres are administered?

a)       2ml

b)       4ml

c)       6ml

d)       8ml

 

solution                 (800 000U) x (5ml / 500 000U)

                                = (800 000 x 5) / (500 000) ml

                                = 8ml

 

11. Your patient is scheduled to receive 1.2G PO of the analegesic ibuprofen (Motrin) TID.  The tablets are labeled 400mg.  How many tablets are administered with each dose?

a)       1 tab

b)       2 tabs

c)       3 tabs

d)       4 tabs

 

solution                 1.2G is the same as 1.2g, which is equivalent to 1200mg

                                = (1200mg) x (1 tablet / 400mg)

                                = (1200 x 1) / (400)

                                = 3 tabs

 

12. The patient is scheduled to receive 16mg PO of the antineoplastic chlorambucil (Leukeran) daily, in divided doses.  You read the label on the bottle, which says that each tablet has 4mg.  How many tablets should be given daily?

a)       1 tab

b)       2 tab

c)       3 tabs

d)       4 tabs

 

solution                 (16mg) x (1 tablet / 4mg)

                                = (16 x 1) / (4) tablet

                                = 4 tablets

 

13. The order is colchichine (Colsalide), an antigout medication, 2.4mg PO daily on a prophylactic basis.  The tablets are available as 800mcg each.  How many tablets should be given daily?

a)       2 tabs

b)       3 tabs

c)       10 tabs

d)       15 tabs

 

solution                 2.4mg is equivalent to 2400mcg

                                = (2400mcg) x (1 tablet / 800mcg)

                                = (2400 x 1) / (800) tablet

                                = 3 tabs

 

14. The physician orders the antihypertensive clonidine (Catapres) 1.8mg PO as a daily dose.  The pharmacy lists that the tablets are available as 0.6mg each.  How many tablets will be administered?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       none of the above

 

solution                 (1.8mg) x (1 tablet / 0.6mg)

                                = (1.8 x 1) / (0.6) tablet

                                = 3 tablets

 

15. The order is for 2.4G PO in divided doses of methsuximide (Celontin Kapseals), an anticonvulsant drug.  If each capsule contains 300mg, how many capsules will be equal to 2.4G?

a)       6 caps

b)       7 caps

c)       8 caps

d)       none of the above

 

solution                 2.4G is equivalent to 2400mg

                                = (2400mg) x (1 capsule / 300mg)

                                = (2400 x 1) / (300) capsule

                                = 8 capsules

 

16. Your order requires 4mg of dexamethasone (Decadron) oral solution.  The bottle you have available is labeled 0.25mg/0.5ml.  How many milliliters of this anti-inflammatory drug should be administered?

a)       4ml

b)       6ml

c)       8ml

d)       10ml

 

solution                 (4mg) x (0.5ml / 0.25mg)

                                = (4 x 0.5) / (0.25) ml

                                = 8ml

 

17. The physician orders Dimenhydrinate (Gravol) 75mg PO for vomiting.  The bottle is labeled 12.5mg/2ml.  How many milliliters must be prepared?

a)       4ml

b)       8ml

c)       12ml

d)       16ml

 

solution                 (75mg) x (2ml / 12.5mg)

                                = (75 x 2) / (12.5) ml

                                = 12ml

 

18. There is an order for thyroid hormone levothyroxine (Synthroid) 0.25mg PO for a patient.  Each tablet is 50mcg.  How many tablets should be prepared?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       none of the above

 

solution                 0.25mg is equivalent to 250mcg

                                = (250mcg) x (1 tablet / 50mcg)

                                = (250 x 1) / (50) tablet

                                = 5 tablets

19. The doctor sends an order for 1.3G PO of calcium lactate PO.  The pharmacy delivers unit tablets of 325mg each.  How many tablets of this calcium supplement will equal 1.3G?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       5 tabs

 

solution                 1.3G is equivalent to 1300mg

                                = (1300mg) x (1 tablet / 325mg)

                                = (1300 x 1) / (325) tablet

                                = 4 tablets

 

20. The physician orders 1000000U of penicillin G potassium (Megacillin) in an oral suspension.  The antibiotic agent is labeled as 25ml = 800000U.  How many milliliters must be prepared?

a)       3.125ml

b)       31.25ml

c)       312.5ml

d)       none of the above

 

solution                 (1000000U) x (25ml / 800000U)

                                = (1000000 x 25) / (800000) ml

                                = 31.25ml

 

21. Nystatin oral suspension 800000U is ordered.  The bottle is labeled 2ml = 250000U.  How many milliliters should be administered?

a)       6.4ml

b)       12.8ml

c)       64ml

d)       128ml

 

solution                 (800000U) x (2ml / 250000U)

                                = (800000 x 2) / (250000) ml

                                = 6.4 ml

 

22. A concentrated nutrition product (Sustacal HC) for tube feeding has been ordered at 85calories/hour.  Each can is labeled 5calories/ml.  How many milliliters will provide 85 calories?

a)       15ml

b)       16ml

c)       17ml

d)       18ml

 

solution                 (85 calories) x (1ml / 5 calories)

                                = (85 x 1) / (5) ml

                                = 17ml

 

23. The order is for amitryptiline (Elavil) 255mg PO.  Available tablets of this tricyclic antidepressant are 85mg each.  How many tablets should be administered?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       5 tabs

 

solution                 (255mg) x (1 tablet / 85mg)

                                = (255 x 1) / (85) tablet

                                = 3 tablets

 

24. An antibiotic, dicloxacillin sodium (Dynapen) 0.5G PO has been ordered by the doctor.  The label on the bottle of oral suspension reads 62.5mg/ml.  How many milliliters must be given?

a)        6ml

b)        8ml

c)       10ml

d)       12ml

 

solution                 0.5G is equivalent to 500mg

                                = (500mg) x (1ml / 62.5mg)

                                = (500 x 1) / (62.5) ml

                                = 8ml

 

25. A patient is to receive the antihypertensive drug labelolol (Trandate) PO.  Each tablet equals 125mg.  If the maintenance dose is 0.25G, how many tablets should be administered?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       5 tabs

 

solution                 0.25mg is equivalent to 250mg

                                = (250mg) x (1 tablet / 125mg)

                                = 2 tablets

 

26. The laxative lactulose (Cephulac) has been ordered for a patient with hepatic encephalopathy.  The order is 35G PO TID.  If this oral solution is labeled 10G/12ml, how many milliliters must the patient receive for each dose?

a)       0.42ml

b)        4.2ml

c)       42ml

d)       420ml

 

solution                 (35G) x (12ml / 10G)

                                = (35 x 12) / (10) ml

                                = 42ml

 

27. The physician orders 175mg PO of amantidine hydrochloride (Symmetrel), which is an antiviral and antiparkinson agent.  The bottle is labeled 50mg/10ml.  How many milliliters must be administered?

a)       25ml

b)       30ml

c)       35ml

d)       40ml

 

solution                 (175mg) x (10ml / 50mg)

                                = (175 x 10) / (50) ml

                                = 35ml

 

 

28. A doctor prescribes a total of 2.4G of naproxen (Naprosyn) PO per day, in divided doses.  How many milligrams should the patient receive?

a)       2.4mg

b)       24mg

c)       240mg

d)       2400mg

 

solution                 2.4G is equivalent to 2400mg

 

29. A patient has been given methadone (Dolophine) for several months at a dosage of 0.08G PO daily.  This is a narcotic analgesic, which is available in 40mg tablets.  How many tablets does the patient receive daily?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       5 tabs

 

solution                 0.08G is equivalent to 80mg

                                = (80mg) x (1 tablet / 40mg)

                                = (80 x 1) / (40) tablet

                                = 2 tablets

 

30. The doctor has ordered ceftriaxone (Rocephin) 360mg IV q6h.  The vial contains 1.5G and when reconstituted with 16ml of water, 90mg=1ml.  How much would you give?

a)       2ml

b)       3ml

c)       4ml

d)       5ml

 

solution                 (360mg) x (1ml = 90mg)

                                = (360 x 1) / (90) ml

                                = 4ml

 

31. The vial of powered material is labeled "Cloxacillin IG."  The directions say to add 1.5ml of Sterile Water.  The solution will then be equal to 2ml.  How much of the solution should you give if the order is "Cloxacillin 500mg IM?"

a)       1ml

b)       2ml

c)       3ml

d)       none of the above

 

solution                 1000mg = 2ml, how many ml are there in 500mg?

                                = (500mg ) x (2ml / 1000mg)

                                = (500 x 2) / (1000) ml

                                = 1ml

 

32. The doctor prescription requires you to add 15mEq KCl to a litre of IV solution.  The form available is a 20ml vial containing 40mEq.  How much are you to use?

a)       5ml

b)       7.5ml

c)       10ml

d)       12.5ml

 

solution                 (15mEq) x (20ml / 40mEq)

                                = (15 x 20) / (40) ml

                                = 7.5ml

33. The physician prescribes IV R/L 1000ml followed by 2/3 + 1/3 1000ml to be administered over a period of 24 hours.  The set calibration is 15gtt/ml.  Determine the flow rate in gtt/min.

a)       19gtt/min

b)       20gtt/min

c)       21gtt/min

d)       22gtt/min

 

solution                 You are told that 2000ml is distributed over 24hours

                                = (2000ml / 24hours) x (15gtt / ml) x (1 hour / 60min)

                                = (2000 x 15 x 1) / (24 x 60) gtt/min

                                = 20.8 gtt/min

                                = 21gtt/min

 

34. The IV order reads: 300ml to be administered over 6 hours.  The set calibration is 60gtt/ml.  Determine the flow rate in gtt/min.

a)       30gtt/min

b)       40gtt/min

c)       50gtt/min

d)       60gtt/min

 

solution                 (300ml / 6hours) x (60gtt / ml) x (1 hour / 60min)

                                = (300 x 60 x 1) / (6 x 60) gtt/min

                                = 50gtt/min

 

35. The doctor orders IV infusion of 400ml in 4hours.  The set calibration rate is 15gtt/ml.  What will the flow rate in gtt/min be?

a)       20gtt/min

b)       25gtt/min

c)       30gtt/min

d)       35gtt/min

 

solution                 (400ml / 4hours) x (15gtt / ml) x (1hour / 60minutes)

                                = (400 x 15 x 1) / (4 x 60) gtt/min

                                = 25gtt/min

 

36. The order reads: IV 1200ml of D5W to be administered in 10hours.  The set calibration is 15gtt/ml.  The rate of flow in gtt/min is?

a)       20gtt/min

b)       30gtt/min

c)       40gtt/min

d)       none of the above

 

solution                 (1200ml / 10hours) x (15gtt /ml) x (1hour / 60minutes)

                                = (1200 x 15 x 1) / (10 x 60) gtt/min

                                = 30gtt/min

 

37. The physician orders 1.5G of aminophylline.  The ampoule reads 25ml = 15G.  How many milliliters will be equal to 1.5G?

a)       2ml

b)       2.5ml

c)       3ml

d)       3.5ml

 

solution                 (1.5G) x (25ml /15G)

                                = (1.5 x 25) / (15) ml

                                = 2.5ml

38. At 1300hrs a patient is to receive 1G of cefazolin (Ancef) IVPB in 250ml of Dextrose 5% in water (D5W), to be infused over 50 minutes.  The drop factor is 10gtt = 1ml.  What is the correct rate of flow for this antibiotic solution?

a)       25gtt/min

b)       50gtt/min

c)       75gtt/min

d)       none of the above

 

solution                 (250ml / 50min) x (10gtt / 1ml)

                                = (250 x 10) / (50 x 1) gtt/min

                                = 50gtt/min

 

39. The order if for Heparin drip of 30000 units in 500ml of D5W to be infused at a rate of 10ml/hour.  How much Heparin do you draw up to mix into the bag of D5W?  You are told that the Heparin vials on hand read 10000 units = 1ml.

a)       2ml

b)       3ml

c)       4ml

d)       none of the above

 

solution                 (30000units) x (1ml / 10000units)

                                = (30000 x 1) / (10000) ml

                                = 3ml

 

40. The doctor orders an IV, which reads: 2400ml in 24hours plus D-tube replacement with volume for volume Normal Saline.  If D-tube drainage for the previous 8hour shift was 200ml, what is the rate of flow per hour?

a)       90ml/hour

b)       108-109ml/hour

c)       125ml/hour

d)       175ml/hour

 

solution                 the rate of flow is the sum of 2 rates

                                The first rate is (2400ml / 24hour) = 100ml/hour

                                The second rate comes from the D-tube replacement:

                                (200ml / 8hour) = 25ml/hr

 

                                Therefore, the rate of flow = 100 + 25 = 125ml/hour

 

41. The order reads: Give 500mg ampicillin IV q6h.  To prepare the medication add 2.7ml of sterile water to the vial.  You are instructed to dilute the medication in a 50ml mini bag of D5W and infuse over 20minutes.  Calculate the flow rate in gtt/min (drop factor is 10gtt/ml).

a)       83gtt/min

b)       30gtt/min

c)       25gtt/min

d)       8gtt/min

 

solution                 (50ml /20min) x (10gtt / 1ml)

                                = (50 x 10) / (20 x 1) gtt/min

                                = 25gtt/min

 

42. The physician orders cefoxitin (Mefoxin) 1G IM for Mr. John.  The vials are available as Mefoxin powder labeled 1G.  Directions for reconstitution say to add 2ml of sterile water for injection to make 2.5ml.  How much would you give?

a)       2ml

b)       2.5ml

c)       4ml

d)       5ml

 

solution                 In total you would be giving 2.5ml for injection into the patient

 

43. The nurse is preparing to administer 1000mg of cefoxatime (Claforan), which was added to 250ml of Lactated Ringer's solution, at an infusion rate of 250mg/hour.  If the tubing is calibrated at 15gtt/ml, what is the correct flow rate?

a)       2gtt/min

b)       4gtt/min

c)       8gtt/min

d)       16gtt/min

 

solution                 (250mg / 1hour) x (250ml / 1000mg) x (1hour / 60min) x (15gtt / 1ml)

                                = (250 x 250 x 1 x 15) / (1 x 1000 x 60 x 1) gtt/min

                                = 15.625gtt/min

                                = 16gtt/min

 

44. The physician orders 0.45G of the antibiotic streptomycin sulphate IM.  The vial reads 2ml = 0.5G.  How many milliliters should be administered?

a)       0.9ml

b)       1.8ml

c)       2.7ml

d)       none of the above

 

solution                 (0.45G) x (2ml / 0.5G)

                                = (0.45 x 2) / (0.5) ml

                                = 1.8ml

 

45. How many milliliters are there in 2 ounces?

a)       20ml

b)       40ml

c)       60ml

d)       80ml

 

solution                 (2 ounces) x (30ml / 1ounce)

                                = (2 x 30) ml

                                = 60ml

 

46. The doctor orders 0.50G of a drug.  The label reads 1000mg per tablet.  How many tablet(s) would be required?

a)       ½ tab

b)       2 tabs

c)       2 ½ tabs

d)       12 tabs

 

solution                 0.50G is equivalent to 500mg

                                = (500G) x (1 tablet / 1000mg)

                                = (0.5 x 1) / (1000) tablet

                                = ½ tablet

 

47. The doctor sends an order for anticonvulsant phenytoin (Dilantin) in an oral suspension 0.4 G PO.  You are told that the bottle is labeled 125mg in 4ml.  How many millimeters should you administer?

a)       0.4ml

b)       4.6ml

c)       6.4ml

d)       12.8ml

 

solution 0.4G is equivalent to 200mg

                                = (400mg) x (4ml / 125mg)

                                = (400 x 4) / (125) ml

                                = 12.8ml

 

48. The order is digoxin (Lanoxin) elixir 0.50mg.  The label on the bottle is 0.05mg/ml.  How many millilitres are required?

a)       5ml

b)       10ml

c)       25ml

d)       50ml

 

solution                 (0.5mg) x (1ml / 0.05mg)

                                = (0.5 x 1) / (0.05) ml

                                = 10ml

 

49. The physician requires 1500mg of acetaminophen (Tylenol) PO for a patient.  The bottle filled with tablets is labeled 0.3G.  How many tablets are to be administered?

a)       3 tabs

b)       4 tabs

c)       5 tabs

d)       6 tabs

 

solution                 0.3G is equivalent to 300mg, thus 1 tablet has 300mg

                              = (1500mg) x (1 tablet / 300mg)

                              = (1500 x 1) / (300) tablet

                              = 5 tablets

 

50. The order is 400mg PO of expectorant guaifenesin (Robitussin).  The bottle you have available are labeled as 125mg = 5ml.  How many millilitres must be prepared?

a)       0.6ml

b)       3.2ml

c)       10ml

d)       16ml

 

solution                 (400mg) x (5ml / 125mg)

                                = (400 x 5) / (125) ml

                                = 16ml

 

51. The order given by the physician is for a sedative - hypnotic triazolam (Halcion) 0.75mg PO.  The pharmacy supply is 0.125mg tablets.  The number of tablets to be administered is?

a)       2 tabs

b)       4 tabs

c)       6 tabs

d)       8 tabs

 

solution                 (0.75mg) x (1 tablet / 0.125mg)

                                = (0.75 x 1) / (0.125) tablet

                                = 6 tablets

52. The physician orders an antihypertensive captopril (Capoten) 70mg PO.  The available tablets are labeled 17.5mg each.  How many tablets should be administered?

a)       4 tabs

b)       6 tabs

c)       8 tabs

d)       10 tabs

 

solution                 (70mg) x (1 tablet / 17.5mg)

                                = (70 x 1) / (17.5) tablet

                                = 4 tablets

 

53. The doctor requests that you administer nystatin suspension (Mycostatin) 800 000U to a patient.  This antifungal drug arrives in bottle labeled 5ml = 500 000U.  The amount of millilitres to be administered is?

a)       2ml

b)       4ml

c)       6ml

d)       8ml

 

solution                 (800000U) x (5ml / 500000U)

                                = (800000 x 5) / (500000) ml

                                = 8ml

 

54. Your patient is scheduled to receive 2.2G PO of the analegesic ibuprofen (Motrin) TID.  The tablets are labeled 400mg.  How many tablets are administered with each dose?

a)       1 ½ tab

b)       2 ½tabs

c)       4 ½ tabs

d)       5 ½ tabs

 

solution                 2.2G is equivalent to 2200mg

                                = (2200mg) x (1 tablet / 400mg)

                                = 5 ½ tablets

 

55. The patient is scheduled to receive 16mg PO of the antineoplastic chlorambucil (Leukeran) daily, in divided doses.  You read the label on the bottle, which says that each tablet has 8mg.  How many tablets should be given daily?

a)       ¾ tab

b)       1 tab

c)       2 tabs

d)       3 tabs

 

solution                 (16mg) x (1 tablets / 8mg)

                                = (16 x 1) / (8) tablet

                                = 2 tablets

 

56. The order is colchichine (Colsalide), an antigout medication, 2.4mg PO daily on a prophylactic basis.  The tablets are available as 300mcg each.  How many tablets should be given daily?

a)       2 tabs

b)       3 tabs

c)       8 tabs

d)       15 tabs

 

solution                 2.4mg is equivalent to 2400mg

                                = (2400mcg) x (1 tablet / 300mcg)

                                = (2400 x 1) / (300) tablet

                                = 8 tablets

 

57. The order is for antihypertensive clonidine (Catapres) 1.8mg PO as a daily dose.  The tablets are available as 0.6mg each.  How many tablets should you administer?

a)       2 tabs

b)       3 tabs

c)       4 tabs

d)       none of the above

 

solution                 (1.8mg) x (1 tablet / 0.6mg)

                                = (1.8 x 1) / (0.6) tablet

                                = 3 tablet

 

58. The order is for 2.8G PO in divided doses of methsuximide (Celontin Kapseals), an anticonvulsant drug.  If each capsule contains 700mg, how many capsules will be equal to 2.8G?

a)       3 caps

b)       4 caps

c)       5 caps

d)       none of the above

 

solution                 2.8G is equivalent to 2800mg

                                = (2800mg) x (1 capsule / 700mg)

                                = (2800 x 1) / (700) capsule

                                = 4 capsules

 

59. The order is for 4mg of dexamethasone (Decadron) oral solution, which is an anti-inflammatory drug.  The bottle you have available is labeled 0.25mg/0.5ml.  How many milliliters should be administered?

a)       4ml

b)       6ml

c)       8ml

d)       10ml

 

solution                 (4mg) x (0.5ml / 0.25mg)

                                = (4 x 0.5) / (0.25) ml

                                = 8 ml

 

60. The prescription orders the addition of 15mEq KCl to a litre of IV solution.  The form that you have available is 20ml vial containing 40mEq.  How much are you to use?

a)       5ml

b)       7.5ml

c)       10ml

d)       12.5ml

 

solution                 (15mEq) x (20ml / 40 mEq)

                                = (15 x 20) / (40) mEq

                                = 7.5ml

 

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