For Exercises 109 and 110 , refer to the following:
A bunion is a progressive medical disorder of the foot in which the big toe gradually begins to lean toward the second toe. The condition can lead to a misalignment of the metatarsal and phalanges of the big toe in relation to the metatarsal and phalanges of the second toe (see the following figure). The angle $\theta$ formed between the metatarsal of the big toe and the metatarsal of the second toe is called the first intermetatarsal angle and is normally less than $9^{\circ} .$ In the presence of a bunion, the intermetatarsal angle exceeds $9^{\circ},$ which may be caused by the length of the first metatarsal bone. Exercises 109 and 110 both correspond to the presence of a bunion.
Health/Medicine. If $\sec \theta=\frac{5.0 \mathrm{~cm}}{4.9 \mathrm{~cm}},$ find the distance between the distal ends of the two metatarsals. Round to the nearest millimeter.