Test
MA CHAPTER 19
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Preguntas del test (166)
1The transfer of heat from one object to another is known as
- Aconduction
- Bradiation
- Cconvection
- Dmicrowaves
2A temperature of 100 degrees F is classified as
- Anormal
- Bhyperpyrexia
- Chypothermia
- Dlow-grade fever
3A temperature of 103 degrees F is classified as
- Ahyperpyrexia
- Bpyrexia
- Chypopyrexia
- Dlow-grade fever
4A temperature of 97.6 degrees F is classified as
- Anormal
- Bhypothermia
- Csubnormal
- Dlow-grade fever
5Which of the following terms refer to a fever?
- Ahypothermia
- Bfebrile
- Cdehydration
- Dafebrile
6You take Mrs. Main's temperature at 7:00 am; it reads 97.8 F. At 3:00 pm, you take her temperature again; it reads 99 F. How do you account for the difference?
- Aduring sleep, body metabolism slows down
- BMrs. Main normally runs a low body temperature
- Cduring sleep, muscle activity increases
- Dwomen normally run a higher body temperature than men
7Which of the following symptoms are experienced by a patient when his or her temperature begins to rise?
- Acoldness and chills
- Bperspiration
- Cbradycardia
- Dhyperventilation
- Eall of the above
8What is the name given to the type of fever in which a wide range of temperature fluctuations occur, all of which are above normal?
- Acrisis
- Bremittent
- Cintermittent
- Dcontinuous
9What is the name given to the type of fever in which the temperature fluctuates minimally but always remain elevated?
- Astadium
- Bremittent
- Cintermittent
- Dcontinuous
10Which of the following are symptoms that may occur during the course of a fever?
- Aheadache
- Bincrease pulse and respirations
- Cincreased thirst
- Dloss of appetite
- Eall of the above
11A vague sense of body discomfort, weakness, and fatigue is known as
- Athe blahs
- Bmalaise
- Ccrisis
- Dadventitious
12When talking axillary body temperature, the arm should be held close to the body to
- Aallow the proper placement of the thermometer
- Bprevent irritation of the skin
- Cprevent the transfer of pathogens
- Dprevent air currents from affecting the reading
13If an axillary temperature of 100 F was taken orally, it would register as
- A98 F
- B99 F
- C100 F
- D101 F
14A rectal thermometer must be lubricated before insertion to prevent
- Athe transfer of pathogens
- Ban inaccurate temperature reading
- Cthe thermometer from breaking
- Dirritation of the rectal mucosa
15How far should the probe be inserted when measuring the rectal temperature of an infant?
- A1/2 inch
- B1/4 inch
- C1 inch
- D1 1/2 inch
16Which of the following may occur if the lens of a tympanic membrane thermometer is dirty?
- Athe lens may break
- Bthe reading may be falsely low
- Cthe tympanic membrane may become irritated
- Dthe reading may be falsely high
17The lens of a tympanic membrane thermometer should be cleansed with
- Aa mild detergent
- Ban abrasive cleanser
- Can antiseptic wipe
- Da soft tissue
18What should be done with a used probe cover for a tympanic membrane thermometer?
- Ait should be ejected into a regular waste container
- Bit should be ejected into a biohazard waste container
- Cit should be cleaned with an antiseptic and reused
- Dit should be left on the thermometer and used on the next patient
19Why is the temporal artery a good site for measuring body temperature?
- Ait is easily accessible
- Bit has a consent, steady flow of blood
- Cit is located close t the surface of the skin
- Dall of the above
20The temporal artery site can be used to measure body temperature in
- Ainfants
- Bchildren
- Cadults
- Delderly
- Eall of the above
21Which of the following could result in an inaccurate temporal artery temperature reading?
- Ahaving the patient remove his SpongeBob hat
- Busing a probe with a shiny lens
- Cquickly scanning the forehead
- Dkeeping the button continually depressed while scanning
22Which of the following is NOT included in the purpose of measuring pulse?
- Ato assess pulse rate after special procedures that affect heart functioning
- Bto determine if the patient is developing hypertension
- Cto assess pulse rate after the administration of medications that affect heart functioning
- Dto establish the patient's baseline pulse rate
23Excessive pressure should not be applied when measuring radial pulse because
- Athe pulse may increase
- Bthe pulse may decrease
- Cit could close off the radial artery, and the pulse may not be felt
- Dit could affect the rhythm of the pulse
24Which of the following individuals has the fastest pulse rate?
- Ainfant
- Bschool-age child
- Cadolescent
- Dadult
25How does physical exercise temporarily affect the pulse?
- Aincreases the pulse rate
- Bdecreases the pulse rate
- Chas no effect
- Dresults in a dysrhythmia
26Where is the radial pulse located?
- Aon the thumb side of the wrist
- Bin the center of the antecubital space
- Cin the little finger side of the wrist
- Don the anterior side of the neck
27The apical pulse is located
- Ain the fourth intercostal space, at the left margin of the sternum
- Bin the fifth intercostal space, at the junction of the left midclavicular line
- Con the anterior side of the neck, slightly to on side of the midline
- Don the fourth rib, at the junction of the right margin of the sternum
28Where is the popliteal pulse located?
- Ain front of the ear, just above eye level
- Bin the middle of the groin
- Con the anterior side of the neck
- Din the back of the knee
29Where is the femoral pulse located?
- Ain the posterior hip region
- Bin the back of the knee
- Cin the middle of the groin
- Don the anterior side of the neck
30Which of the following pulse sites can be used to assess circulation to the foot?
- Aposterior tibial
- Bulnar
- Cfemoral
- Dpopliteal
31Which of the following pulse sites is most often used to monitor pulse during exercise?
- Atemporal
- Bcarotid
- Culnar
- Ddorsalis pedis
32What is the normal range for the resting pulse rate of an adult?
- A60-100 bpm
- B60-80 bpm
- C70-90 bpm
- D80-100 bpm
33Which of the following terms describes an abnormally fast pulse rate?
- Atachypnea
- Bbounding
- Ctachycardia
- Dbradycardia
34You are measuring the pulse and find it has a normal rhythm and volume. How should you record this?
- Adysrhythmia and regular
- Bbounding and strong
- Cregular and strong
- Dthready and regular
35You are measuring the pulse and find it feels weak and rapid. How would you record this?
- Abounding
- Bthready
- Ctachycardia
- Dbradycardia
36You are taking the pulse and find it feels extremely strong and full. How would you record this?
- Abounding
- Bthready
- Cbradycardia
- Dtachycardia
37Which of the following individuals may normally exhibit bradycardia?
- Aa trained athlete
- Ban infant
- Can elderly person
- Da diabetic patient
38What term is used to describe an irregularity in the heart's rhythm?
- Afibrillation
- Bectopic beat
- Cbradycardia
- Ddysrhythmia
39Which of the following is used to describe the condition in which the radial pulse rate is less than the apical pulse?
- Aapical-radial pulse
- Bpulse pressure
- Cpulse deficit
- Datrial fibrillation
40During exhalation
- Aoxygen is taken into the lungs
- Bthe diaphragm descends
- Cthe lungs expand
- Dcarbon dioxide is removed from the lungs
41Internal respiration is the
- Aexchange of oxygen and carbon dioxide between the lungs and blood
- Bremoval of carbon dioxide from the lungs
- Cexchange of oxygen and carbon dioxide between the blood and body cells
- Dmeasurement of the oxygen saturation of the blood
42The normal respiratory rate of an adult ranges from
- A8-16 respirations per minute
- B10-18 respirations per minute
- C12-20 respirations per minute
- D16-22 respirations per minute
43Which of the following individuals has the slowest respiratory rate?
- Anewborn
- Binfant
- Cpreschool child
- Dadult
44What term is used to describe breathing that is easier in a sitting position?
- Aorthopnea
- Bdyspnea
- Cbradypnea
- Deupnea
45What type of breathing may occur with a panic attack?
- Awheezing
- Bbradypnea
- Chyperventilation
- Dhypoxia
46What term is used to describe a bluish discoloration of the skin caused by a lack of oxygen?
- Acyanosis
- Bhypoxia
- Capnea
- Dischemia
47Which of the following individuals would be least likely to have dyspnea?
- Aa patient with chronic bronchitis
- Ba patient with arthritis
- Ca patient with emphysema
- Da patient with asthma
48Which of the following conditions is often characterized by hypopnea?
- Asleep disorders
- Bdehydration
- Cfever
- Dchills
49If a patient's pulse rate is 80 beats/min, the patient's respirations would most likely be
- A14 respirations per minute
- B16 respirations per minute
- C18 respirations per minute
- D20 respirations per minute
50Pulse oximetry provides the physician with information on
- Athe rate and depth of respirations
- Bcardiac dysthythmias
- Cthe amount of oxygen being delivered to the tissues
- Dcirculation to the extremities
51The function of hemoglobin is to
- Atransport oxygen in the body
- Bdefend the body against infection
- Cassist in blood clotting
- Dtransport nutrients to the cells
52What term designates a decrease in the oxygen saturation of the blood?
- Aapnea
- Bhypoxemia
- Chypopnea
- Dhypoxia
53Which of the following does NOT affect the SpO2 reading?
- Adark fingernail polish
- Bdarkly pigmented skin
- Cbruises
- Dartificial fingernails
54What effect can patient movement have on the pulse oximetry procedure?
- Aprevents the probe from picking up the pulse signal
- Bcauses a decrease in blood flow to the finger
- Cprevents the probe from being aligned properly
- Dcauses the photodetector to rub his or her fingers together
55If the patient's fingers are cold when performing pulse oximetry, the medical assistant should
- Atake the reading on another finger
- Buse a disposable probe to take the reading
- Ccleanse the probe with an antiseptic wipe
- Dask the patient to rub his or her fingers together
56Blood pressure measures
- Athe contraction and relaxation of the heart
- Bthe number of times the heart beats per minute
- Cthe force extends on the walls of the arteries by the blood
- Dthe expansion and recoiling of the aorta
57The phase in the cardiac cycle in which the heart relaxes between contractions is known as
- Adiastole
- Bsystole
- Cpulse pressure
- Dbaseline reading
58The systolic blood pressure represents the
- Apressure in the arteries when the ventricles contract
- Bpressure in the arteries when the heart relaxes
- Cthe force exerted on the walls of the arteries by the blood
- Dthe expansion and recoiling of the aorta
59What term is used to describe the point of lesser pressure on the arterial walls when assessing blood pressure?
- Asystolic pressure
- Bdiastolic pressure
- Cdiastole
- Dhypotension
- Epressure point
60Normal blood pressure for an adult is
- A120/80 mm Hg or higher
- Bless than 120/80 mm Hg
- C110-140 over 60-90 mm Hg
- D70-80 beats/min
61Blood pressure is measured in
- Aunits
- Bdegrees
- Cbeats/min
- Dmillimeters in mercury
62Which of the following is NOT a risk factor for developing hypertension?
- Aobesity
- Bsmoking
- Csleep apnea
- Dalcohol consumption
63If a patient's blood pressure is 130/85 mm Hg, the patient's pulse pressure would be
- A45
- B85
- C130
- D215
64Which of the following has an effect on blood pressure?
- Apain
- Bbladder distension
- Cbody position
- Dsmoking
- Eall of the above
65What type of cuff would probably be needed to measure blood pressure on an overweight adult weighing 250 pounds?
- Asmall adult
- Badult
- Cchild
- Dthigh
66Over which artery is the stethoscope placed when taking blood pressure?
- Aradial
- Bbrachial
- Capical
- Dcarotid
67When measuring blood pressure, the patient's arm should be positioned
- Aabove heart level
- Bat heart level
- Cacross the chest
- Dwith the palm facing downward
68All of the following are advantages of using an automated blood pressure monitor except:
- Athe cuff does not have to be manually inflated
- Bthe blood pressure measurement is easy to read
- Ccan be used to measure blood pressure in a patient with dysrhythmia
- Dthe brachial artery does not need to be located
69Which of the following represents an error in (manual) blood pressure technique?
- Adirecting the ear pieces of the stethoscope slightly forward in the ear
- Bplacing the cuff 2 inches above the bend in the elbow
- Cpositioning the manometer at a viewing distance of 2 feet
- Dreleasing the air in the cuff as slowly as possible
70When measuring blood pressure, the Korotkoff phase in which the sounds disappear is
- Aphase I
- Bphase lll
- Cphase IV
- Dphase V
71Clara Ashworth has come to the office for a checkup. She has chronic obstructive pulmonary disease and is short of breath most of the time. Because of this condition, she always breathes through her mouth. Sergio Martinez, RMA, needs to check her temperature. His office uses electronic thermometers for taking temperature. Which site would Sergio choose to take Clara’s temperature?
- Amouth
- Brectum
- Cear
- Daxilla
72Tyler Tompkins is 5 years old. His mother has brought him to the office for his kindergarten physical examination. Sergio Martinez, RMA, needs to take Tyler’s vital signs. Before taking Tyler’s aural temperature, Sergio checks the lens of the probe to ensure it is clean and shiny because a dirty lens can result in
- AA falsely low temperature reading
- BA falsely high temperature reading
- COtitis media
- DHearing loss
73While taking Tyler’s aural temperature, Sergio makes sure to use proper technique. Sergio performs all of the following except
- AApplying a disposable cover to the probe
- BPulling Tyler’s ear down and back
- CSealing the opening of Tyler’s ear with the probe
- DPositioning the tip of the probe toward Tyler’s opposite temple
74Before putting the ear thermometer away, Sergio cleans the lens of the probe by wiping it with
- ABetadine
- BAlcohol
- CWater
- DBleach
75Caitlin Perry, age 28, comes to the medical office for an employment physical. Sergio Martinez, RMA, takes Caitlin’s pulse for 30 seconds and counts 45 beats. Sergio realizes that Caitlin’s pulse rate
- AIndicates bradycardia
- BIs normal
- CIndicates tachycardia
- DIndicates hyperpnea
76Sergio is now ready to measure Caitlin’s respirations. All of the following would be correct techniques for Sergio to use except
- ACounting the respirations for 30 seconds and multiplying times 2
- BContinuing to hold his fingers over the wrist area while counting respirations
- CInstructing Caitlin to remain still so that her respirations can be counted
- DNoting the rhythm and depth of the respirations
77Paula Simons has a history of cardiac problems and is taking cardiac medication. She has come to the office for a checkup. While taking her radial pulse, Sergio Martinez, RMA, notices that the rhythm is irregular. He recognizes that Paula
- AIs having a heart attack
- BIs having side effects from her cardiac medication
- CHas a dysrhythmia and counts her pulse for 1 full minute
- DHas a normal pulse
78Carlos Ramirez has come to the office because he has been sick with an upper respiratory infection. Carlos has had chronic bronchitis for the past 4 years. He is short of breath, and his lips and nail beds are bluish. Terms that could be used to document his symptoms include
- ADyspnea and cyanosis
- BOrthopnea and paleness
- CTachypnea and flushed
- DBradypnea and cyanosis
79Ivan Peabody, 42 years old, comes to the office for his annual physical examination. Sergio Martinez, RMA, takes his vital signs. His blood pressure is 138/88 mm Hg. Sergio realizes this reading falls into the following category:
- ANormal
- BPrehypertension
- CHypertension, stage 1
- DHypertension, stage 2
80All of the following statements by Ivan indicate that he may be at risk for hypertension except
- AI need to quit smoking
- BI have been overweight since I was a teenager.
- CMy father and twin brother have high blood pressure.
- DI have to wear reading glasses to read the newspaper.
81The mouth has a rich blood supply under the tongue.
- AVerdadero
- BFalso
82The temperature of the body varies depending upon where the temperature is taken.
- AVerdadero
- BFalso
83The oral probe of an electronic thermometer is red.
- AVerdadero
- BFalso
84Hot and cold liquids change the temperature of the mouth, resulting in an inaccurate temperature reading.
- AVerdadero
- BFalso
85The probe cover prevents the transmission of microorganisms from one patient to another.
- AVerdadero
- BFalso
86The patient should be instructed to keep her mouth closed during the procedure to keep out cooler air that may influence the reading.
- AVerdadero
- BFalso
87The used probe cover must be discarded in a biohazard waste container.
- AVerdadero
- BFalso
88The axillary site is used for mouth-breathing patients and those who have oral inflammation or have had oral surgery.
- AVerdadero
- BFalso
89The axillary site is a good site to use to take the temperature of a toddler or preschooler.
- AVerdadero
- BFalso
90The axillary temperature is approximately 1 degree higher than the same patient’s oral temperature.
- AVerdadero
- BFalso
91The probe of the thermometer should be placed in the center of the patient’s axilla.
- AVerdadero
- BFalso
92The arm should be held close to the body to prevent air currents from interfering with the reading.
- AVerdadero
- BFalso
93The symbol ® should be charted next to the reading to tell the physician that this was an axillary temperature.
- AVerdadero
- BFalso
94Rectal temperature can be taken on newborns.
- AVerdadero
- BFalso
95The rectal temperature is a good site for measuring temperature because the rectum has a rich blood supply and it is a closed cavity.
- AVerdadero
- BFalso
96Sterile gloves must be worn when measuring rectal temperature.
- AVerdadero
- BFalso
97Older children and adults should be placed in the supine position for rectal temperature measurement.
- AVerdadero
- BFalso
98Lubricant applied to the probe cover makes it easier to insert the probe into the rectum.
- AVerdadero
- BFalso
99Never force insertion of the rectal thermometer probe, to prevent damage to the rectal mucosa.
- AVerdadero
- BFalso
100It is important to remove the probe from the rectum in the same direction in which it was inserted.
- AVerdadero
- BFalso
101The used probe cover should be discarded in a regular waste container.
- AVerdadero
- BFalso
102Aural temperature can be taken on a patient with an inflamed ear canal.
- AVerdadero
- BFalso
103A normal amount of cerumen does not affect an aural temperature reading.
- AVerdadero
- BFalso
104A tympanic membrane thermometer has a sensor that takes a picture of the infrared waves given off by the tympanic membrane.
- AVerdadero
- BFalso
105An inaccurate aural temperature reading may occur if the patient has been lying on his or her ear.
- AVerdadero
- BFalso
106Recent swimming or bathing does not affect an aural temperature reading.
- AVerdadero
- BFalso
107A dirty or damaged tympanic thermometer lens can cause a falsely high reading.
- AVerdadero
- BFalso
108If the lens is dirty, it should be gently cleaned with a water-based lubricant and wiped dry with a cotton swab.
- AVerdadero
- BFalso
109The ear canal is straightened in adults and children older than 3 years by gently pulling the ear auricle upward and backward.
- AVerdadero
- BFalso
110The tip of the probe should be pointed toward the opposite temple to allow the sensor to obtain a clear view of the tympanic membrane.
- AVerdadero
- BFalso
111If the temperature appears to be too low, take the reading again, making sure to use proper technique.
- AVerdadero
- BFalso
112Store the thermometer in its storage base to protect the lens from damage and dirt.
- AVerdadero
- BFalso
113The temporal artery runs across the forehead and down the side of the neck.
- AVerdadero
- BFalso
114The temporal artery reading is about the same as the oral site.
- AVerdadero
- BFalso
115The forehead needs to be fully exposed to the environment to obtain an accurate reading.
- AVerdadero
- BFalso
116A dirty, damaged lens can lead to a falsely-high temperature reading.
- AVerdadero
- BFalso
117Hair covering the forehead traps body heat resulting in a falsely-high temperature reading.
- AVerdadero
- BFalso
118The probe should be positioned on the center of the patient’s forehead, midway between the eyebrow and the hairline.
- AVerdadero
- BFalso
119The scan button should be depressed the entire time you are scanning.
- AVerdadero
- BFalso
120Quickly slide the probe in a straight line across the forehead until you reach the hairline.
- AVerdadero
- BFalso
121The probe should be kept flat against the skin of the forehead while scanning.
- AVerdadero
- BFalso
122Rapid beeping and blinking of the thermometer indicate that the temperature is rising.
- AVerdadero
- BFalso
123Once you reach the hairline, lift the probe and gently place it behind the earlobe, keeping the scan button depressed.
- AVerdadero
- BFalso
124If the temperature needs to be taken again, you must wait 10 seconds.
- AVerdadero
- BFalso
125The radial pulse is located on the inner aspect of the wrist, just below the thumb.
- AVerdadero
- BFalso
126When measuring the pulse rate, you should also assess the rhythm and volume of the pulse.
- AVerdadero
- BFalso
127The forearm should be positioned at heart level when measuring the pulse and respiration.
- AVerdadero
- BFalso
128The index finger should not be used to measure pulse, because it has a pulse of its own.
- AVerdadero
- BFalso
129If you apply too much pressure when taking pulse, you may close off the artery and be unable to feel the pulse.
- AVerdadero
- BFalso
130If the rhythm is irregular, you should measure the pulse for 5 minutes.
- AVerdadero
- BFalso
131Inform the patient when you begin measuring the patient’s respirations.
- AVerdadero
- BFalso
132One complete respiration includes one inhalation and one exhalation.
- AVerdadero
- BFalso
133The normal resting pulse rate for an adult ranges from 60 to 100 beats per minute.
- AVerdadero
- BFalso
134The respiratory rate of a normal healthy adult ranges from 8 to 16 respirations per minute.
- AVerdadero
- BFalso
135The apical pulse has a stronger beat and is easier to measure than the other pulse sites.
- AVerdadero
- BFalso
136An apical pulse is usually measured on infants and children up to 3 years of age.
- AVerdadero
- BFalso
137The apical pulse site is located in the fourth intercostal space at the junction of the left midclavicular line.
- AVerdadero
- BFalso
138A diaphragm chest piece allows you to hear the sounds better when taking apical pulse.
- AVerdadero
- BFalso
139Apical pulse can be measured with the patient in a sitting or lying position.
- AVerdadero
- BFalso
140To make it easier to hear the heartbeat, insert the earpieces in your ears with the earpieces directed slightly forward.
- AVerdadero
- BFalso
141Each lubb-dupp sound represents one heartbeat.
- AVerdadero
- BFalso
142Pulse oximetry is used to measure the oxygen saturation level of the blood.
- AVerdadero
- BFalso
143Pulse oximetry provides information on the amount of carbon dioxide that is being expelled from the body.
- AVerdadero
- BFalso
144The oxygen saturation level of most healthy individuals falls between 85% and 99%.
- AVerdadero
- BFalso
145An oxygen saturation level below 70% is life-threatening.
- AVerdadero
- BFalso
146The patient should be seated comfortably, with the lower arm firmly supported.
- AVerdadero
- BFalso
147Dark fingernail polish will not interfere with the pulse oximetry reading.
- AVerdadero
- BFalso
148The fleshy tip of the finger should cover the LED window, and the tip of the finger should touch the end of the probe stop.
- AVerdadero
- BFalso
149The cable should be positioned so that it lies across the back of the hand and parallel to the arm.
- AVerdadero
- BFalso
150To ensure an accurate reading, instruct the patient to remain still and breathe normally.
- AVerdadero
- BFalso
151The pulse oximeter also measures the patient’s blood pressure.
- AVerdadero
- BFalso
152Several readings, taken on different occasions, provide a good index of an individual’s baseline blood pressure.
- AVerdadero
- BFalso
153Blood pressure is a measurement of the number of times the heart beats each minute.
- AVerdadero
- BFalso
154The phase in the cardiac cycle that represents the highest point of blood pressure in the body is known as the diastolic pressure.
- AVerdadero
- BFalso
155The standard unit for measuring blood pressure is millimeters of mercury.
- AVerdadero
- BFalso
156The first sound that is heard is phase I of the Korotkoff sounds and is recorded as the systolic pressure.
- AVerdadero
- BFalso
157The last sound you hear is known as phase V of the Korotkoff sounds and is recorded as the diastolic pressure.
- AVerdadero
- BFalso
158Signs that may influence the blood pressure (BP) reading include fear, pain, and recent physical activity.
- AVerdadero
- BFalso
159A sleeve that is too tight has no effect on the BP reading.
- AVerdadero
- BFalso
160A cuff that is too small may cause the BP reading to be falsely low.
- AVerdadero
- BFalso
161The brachial artery is located near the center of the antecubital space, but slightly to the little-finger side of the arm.
- AVerdadero
- BFalso
162The bladder of the cuff should be centered over the brachial pulse site.
- AVerdadero
- BFalso
163The cuff should be positioned so that the lower edge is about 4 inches above the bend in the elbow.
- AVerdadero
- BFalso
164Good contact of the diaphragm with the skin makes it easier to hear the Korotkoff sounds.
- AVerdadero
- BFalso
165The pressure in the cuff should be released at a steady rate of 2 to 3 mm per second.
- AVerdadero
- BFalso
166If you do not obtain an accurate measurement, wait 30 seconds before making another attempt on the same arm.
- AVerdadero
- BFalso
Información
- Descripción
- 12th grade Medical Assistant Test sobre MA CHAPTER 19, creado por sarah wood el 23/03/2018.
- Autor
- sarah wood
- Idioma
- English
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- 1
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