A 68-Year-Old Man Comes to the Office Due to Intermittent

question 362

Multiple Choice

A 68-year-old man comes to the office due to intermittent, painless blood in his urine.  He has no other symptoms.  The patient uses transdermal testosterone for chronic hypogonadism and erectile dysfunction.  He has smoked a pack of cigarettes daily for 40 years; he drinks 2 shots of vodka every day and 2 glasses of wine once a week.  He works as an operations manager for a large beverage company and frequently travels to Mexico.  Vital signs are within normal limits.  Abdominal examination shows no abnormalities.  On digital rectal examination, the prostate is smooth with no nodules.  Urinalysis is positive for >50 red blood cells/hpf; there are no casts or dysmorphic blood cells.  Urine cytology is positive for malignant cells.  Renal ultrasonogram reveals normal kidneys.  Which of the following is a major risk factor for this patient's current condition?

• A)Alcohol use
• B)Occupation
• C)Testosterone therapy
• D)Tobacco smoking
• E)Travel history

Identify the societal, cultural, and economic conditions contributing to family violence, including the role of poverty.

Discern the impact of abusive behavior patterns learned in childhood on future family interactions.

Evaluate the effectiveness and criticisms of societal interventions in preventing and addressing family violence.

Understand the global prevalence and cultural acceptance of practices harmful to women, such as female genital mutilation.

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Definitions:

Referent Power

A form of power that stems from being admired or respected, leading others to identify with or want to be like the person wielding this power.

Personal and Professional Development

The continuous process of acquiring new skills and knowledge that relate to one's profession, personal aspirations, and self-improvement.

Transformational Leaders

Leaders who inspire and motivate their followers to exceed their own self-interests for the betterment of the organization through vision and passion.

Use of Power

The application of influence, control, or authority in order to achieve desired outcomes within a social context.