A 74-Year-Old Man Comes to the Office for a Follow-Up

question 784

Multiple Choice

A 74-year-old man comes to the office for a follow-up visit for hypertension.  His last visit was a year ago.  He has no chest pain, shortness of breath, leg swelling, or dizziness.  The patient is compliant with his medications and can tolerate a moderate level of physical activity.  Blood pressure is 145/75 mm Hg and pulse is 67/min and regular.  Auscultation findings at the base of the heart are depicted in the exhibit below. Which of the following is the most likely cause of this patient's physical findings?

• A)Ankylosing spondylitis
• B)Chordal rupture
• C)Coronary artery disease
• D)Cystic medial necrosis
• E)Infective endocarditis
• F)Rheumatic fever
• G)Right ventricular failure
• H)Valvular calcification

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Definitions:

Conflict Theory

A sociological perspective that views social life as a competition, and focuses on the distribution of resources, power, and inequality as causes of conflict and social change.

Functionalism

A theoretical framework in sociology that emphasizes the interdependence of the parts of a society and their role in maintaining societal stability.

Absolute Poverty

A condition characterized by the severe deprivation of basic human needs, including food, safe drinking water, sanitation facilities, health, shelter, education, and information.

Relative Poverty

A condition where people are considered poor relative to the living standards of the majority in the society they live in.