A 78-Year-Old Man Comes to the Office for Routine Follow-Up

question 779

Multiple Choice

A 78-year-old man comes to the office for routine follow-up.  He had an ischemic stroke 8 months ago and has some residual weakness in his left leg.  The patient had a fall 4 months ago without significant injuries, but his gait is somewhat unsteady.  Medical history is significant for diet-controlled type 2 diabetes mellitus, hypertension, chronic kidney disease, and persistent atrial fibrillation.  Current medications are lisinopril, metoprolol, atorvastatin, and low-dose aspirin.  The patient has been treated with warfarin due to atrial fibrillation, but he found it difficult to follow frequent blood checks and stopped the therapy.  He is a lifelong nonsmoker and does not drink alcohol.  Despite leg weakness, he enjoys short walks in his yard every morning.
Blood pressure is 133/76 mm Hg, and pulse is 88/min and irregular.  No murmurs are heard on cardiac auscultation, and there is no peripheral edema.
Laboratory results are as follows:
Estimated glomerular filtration rate (eGFR) is 39 mL/min.  ECG shows atrial fibrillation and voltage criteria for left ventricular hypertrophy.
Which of the following is the best therapy to offer this patient?

• A)Aspirin monotherapy due to a favorable benefit/risk ratio
• B)No antithrombotic therapy because the risks significantly outweigh the benefits
• C)Oral factor Xa inhibitor due to a favorable benefit/risk ratio
• D)Warfarin therapy because of history of chronic renal disease
• E)Warfarin therapy because of the risk of falls

Recognize the characteristics and functions of various forms of money, including token money and digital money (debit cards, credit cards).

Understand the role of the Federal Reserve in managing money supply and regulating banks.

Comprehend the advantages and disadvantages of using credit and debit cards.

Identify and describe the entities responsible for manufacturing and distributing coins and Federal Reserve notes in the United States.

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Definitions:

Communications Mix

The various tools and methods that a company uses to communicate with its target market, including advertising, personal selling, sales promotion, public relations, and direct marketing.

Buzz Marketing

A viral marketing technique that focuses on generating excitement, high conversation levels, and word-of-mouth promotion about a brand or product.

Integrated Marketing Communications Campaign

A strategic approach that combines various promotional tools and communication strategies to deliver a consistent message about a brand to a targeted audience.

Consistent Message

The practice of ensuring that all communication and promotional activities deliver the same core message about a brand or product to maintain brand identity and consumer trust.