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A 52-Year-Old Woman with a History of Locally Advanced Breast

question 233

Multiple Choice

A 52-year-old woman with a history of locally advanced breast cancer comes to the office for follow-up.  The patient is undergoing trastuzumab-based chemotherapy but has not received radiation therapy.  She has no symptoms except mild fatigue.  Blood pressure is 120/72 mm Hg and pulse is 85/min and regular.  The patient is afebrile.  Transthoracic echocardiography reveals a left ventricular ejection fraction of 40% with no evidence of valvular disease.  Cardiac assessment prior to chemotherapy initiation was normal.  Which of the following pathologic findings is most likely to be present in this patient's heart?

Identify metric units and their application in measuring length, volume, and mass.
Convert between units of measurement both within the same measurement system (e.g., cups to quarts) and across different systems (e.g., pounds to kilograms).
Solve basic arithmetic problems involving multiplication, addition, and subtraction of whole numbers, decimals, and fractions.
Apply arithmetic operations correctly in real-world contexts, such as dosage calculation and kitchen measurements.

Definitions:

Mental Set

A frame of mind involving an established way of thinking, either due to habit or a desire to maintain a perceived efficiency in approaching problems.

Household Repairs

Household repairs involve fixing or mending various systems or structures within a home, addressing issues related to plumbing, electrical wiring, or structural damage.

Means-End Analysis

A problem-solving strategy that involves breaking down the problem into smaller parts and addressing these parts to reach the desired goal.

Stroop Task

The Stroop task is a psychological test that demonstrates the conflict between the meaning of words and their colors, revealing how automatic processing can interfere with intended cognitive tasks.

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