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A 43-Year-Old Man with a History of HIV Infection Who

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A 43-year-old man with a history of HIV infection who is noncompliant with highly active antiretroviral therapy comes to the office due to progressive memory loss and cognitive decline over the last several years.  The patient has problems with attention, concentration, and speech.  In the past few months, he has become more apathetic and increasingly lethargic.  More recently, he has had difficulty with balance and has fallen on multiple occasions.  The patient has had no headache, tremor, change in vision, fever, nausea/vomiting, or urinary incontinence.  His brother has a history of severe intellectual disability and epilepsy.  Mini-Mental State Examination score is 18/30, and the patient appears emotionally blunted.  He also has postural instability and difficulty performing fine motor tasks.  Noncontrast head CT scan reveals diffuse cortical atrophy with some enlargement of the ventricles, as shown in the exhibits. A 43-year-old man with a history of HIV infection who is noncompliant with highly active antiretroviral therapy comes to the office due to progressive memory loss and cognitive decline over the last several years.  The patient has problems with attention, concentration, and speech.  In the past few months, he has become more apathetic and increasingly lethargic.  More recently, he has had difficulty with balance and has fallen on multiple occasions.  The patient has had no headache, tremor, change in vision, fever, nausea/vomiting, or urinary incontinence.  His brother has a history of severe intellectual disability and epilepsy.  Mini-Mental State Examination score is 18/30, and the patient appears emotionally blunted.  He also has postural instability and difficulty performing fine motor tasks.  Noncontrast head CT scan reveals diffuse cortical atrophy with some enlargement of the ventricles, as shown in the exhibits.     This patient's condition can be best described as which of the following? A) Communicating hydrocephalus B) Hydrocephalus ex-vacuo C) Lissencephaly D) Noncommunicating hydrocephalus E) Pseudotumor cerebri F) Transtentorial (uncal)  herniation
A 43-year-old man with a history of HIV infection who is noncompliant with highly active antiretroviral therapy comes to the office due to progressive memory loss and cognitive decline over the last several years.  The patient has problems with attention, concentration, and speech.  In the past few months, he has become more apathetic and increasingly lethargic.  More recently, he has had difficulty with balance and has fallen on multiple occasions.  The patient has had no headache, tremor, change in vision, fever, nausea/vomiting, or urinary incontinence.  His brother has a history of severe intellectual disability and epilepsy.  Mini-Mental State Examination score is 18/30, and the patient appears emotionally blunted.  He also has postural instability and difficulty performing fine motor tasks.  Noncontrast head CT scan reveals diffuse cortical atrophy with some enlargement of the ventricles, as shown in the exhibits.     This patient's condition can be best described as which of the following? A) Communicating hydrocephalus B) Hydrocephalus ex-vacuo C) Lissencephaly D) Noncommunicating hydrocephalus E) Pseudotumor cerebri F) Transtentorial (uncal)  herniation This patient's condition can be best described as which of the following?

Derive and simplify expressions involving exponential functions.
Understand the exponential growth and decay model.
Use exponential functions to model real-world scenarios such as population growth and radioactive decay.
Interpreting the exponential model parameters in the context of investment and interest calculations.

Definitions:

Job Hunting

The process of actively seeking new employment, including activities such as applying for jobs, networking, and interviewing.

Deductible

The amount that a taxpayer must pay out-of-pocket before an insurance company will pay any expenses.

Unreimbursed Employee Business Expenses

Expenses employees incur in the course of performing their job that are not reimbursed by the employer.

Itemized Deductions

Expenses allowed by the IRS that can be subtracted from adjusted gross income to reduce taxable income, including mortgage interest, medical expenses, and charitable contributions.

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