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A 72-Year-Old Woman with a History of Hypertension and Coronary

question 99

Multiple Choice

A 72-year-old woman with a history of hypertension and coronary artery disease was admitted to the hospital 2 months ago with dizziness and palpitations.  The patient was diagnosed with persistent atrial fibrillation but has been doing well since.  She takes 20-minute walks on most days of the week for exercise with no chest pain or shortness of breath.
The patient had coronary artery bypass graft surgery 7 years ago for stable angina and also has gastroesophageal reflux disease, right knee osteoarthritis, and chronic constipation.  Her current medications include aspirin, metoprolol, digoxin, simvastatin, warfarin, and valsartan.  She also takes antacids frequently for heartburn and upper abdominal discomfort.
Her blood pressure is 146/80 mm Hg, and pulse is 76/min and irregularly irregular.  BMI is 31 kg/m2.  A faint ejection-type systolic murmur is heard at the right upper sternal border.  Her peripheral pulses are 2+ and there is trace edema in the leg with the vein harvest scar.
Laboratory results are as follows:
A 72-year-old woman with a history of hypertension and coronary artery disease was admitted to the hospital 2 months ago with dizziness and palpitations.  The patient was diagnosed with persistent atrial fibrillation but has been doing well since.  She takes 20-minute walks on most days of the week for exercise with no chest pain or shortness of breath. The patient had coronary artery bypass graft surgery 7 years ago for stable angina and also has gastroesophageal reflux disease, right knee osteoarthritis, and chronic constipation.  Her current medications include aspirin, metoprolol, digoxin, simvastatin, warfarin, and valsartan.  She also takes antacids frequently for heartburn and upper abdominal discomfort. Her blood pressure is 146/80 mm Hg, and pulse is 76/min and irregularly irregular.  BMI is 31 kg/m<sup>2</sup>.  A faint ejection-type systolic murmur is heard at the right upper sternal border.  Her peripheral pulses are 2+ and there is trace edema in the leg with the vein harvest scar. Laboratory results are as follows: Her last echocardiogram showed normal left ventricular systolic function and mild mitral regurgitation. Compared to warfarin, dabigatran has a lower risk of which of the following? A) Congestive heart failure B) Dyspepsia C) Intracranial bleeding D) Pericarditis E) Recurrent myocardial infarction
Her last echocardiogram showed normal left ventricular systolic function and mild mitral regurgitation.
Compared to warfarin, dabigatran has a lower risk of which of the following?

Understand the concept and applications of flextime work schedules.
Analyze motivation theories through practical examples.
Propose suitable programs to enhance wellness and job satisfaction.
Grasp the impact of participative management practices on organizational outcomes.

Definitions:

P > MC

Indicates a situation where the price of a good is greater than the marginal cost of producing it, suggesting a potential for profit.

Monopolistically Competitive

A market structure characterized by many sellers offering differentiated products, leading to some degree of market power but still allowing for competition.

Efficient Use

The optimal utilization of resources to achieve the highest possible output or satisfaction with the least possible waste.

Minimum ATC

The point on a firm’s average total cost curve where the cost is at its lowest, representing the most efficient scale of production.

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