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A 65-Year-Old Man with a Long History of Hypertension and Type

question 437

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A 65-year-old man with a long history of hypertension and type 2 diabetes mellitus comes to the office for a routine checkup.  The patient is a former smoker with a 15-pack-year history.  He jogs 3 miles per day.  BMI is 28.5 kg/m2.  Family history is unremarkable.  Auscultation findings over the cardiac apex are given below.  The auscultation findings are best explained by which of the following?

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Definitions:

Productive Forgetting

The ability to abandon a solution that isn’t working in favor of a new one.

Supervisory Support

Assistance and guidance provided by supervisors or managers to their subordinates, typically aimed at encouraging well-being and improving performance.

Innovation

The process of creating, developing, and implementing new ideas, products, or methods that bring novel solutions to problems or improvements to existing conditions.

Creativity

The ability to generate new ideas, solutions, or innovations that are original and valuable.

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