A 74-Year-Old Woman Comes to the Office for a Routine

question 4

Multiple Choice

A 74-year-old woman comes to the office for a routine checkup.  She has had difficulty with her memory that has worsened over the past year.  She sometimes forgets important appointments, including doctors' appointments.  The patient often forgets to take her daily pills.  It has also become difficult for her to remember the names of new people she meets, and she often has to write them down.  The patient drives, shops, and pays her bills independently.  She admits that she has had bouts of loneliness since her husband died 2 years ago; however, she still enjoys socializing with friends when she has the energy.  The patient has hypertension, hyperlipidemia, gastroesophageal reflux disease, and left knee osteoarthritis.  Her mother died of a stroke, and her father died of Alzheimer disease.
The patient's blood pressure is 132/78 mm Hg and pulse is 76/min.  BMI is 29 kg/m².  Neurological examination shows no focal deficits.  She scores a 25/30 on the Montreal Cognitive Assessment.
Which of the following is the most likely diagnosis for this patient?

• A)Alzheimer disease
• B)Dementia with Lewy bodies
• C)Major depressive disorder
• D)Mild cognitive impairment
• E)Normal aging

Analyze the ethical considerations and potential conflicts of interest surrounding executive stock options.

Recognize the tax implications and characteristics of preferred versus common stock under the U.S. tax code.

Calculate the value of stocks using different models and the expected return of investment in specific scenarios.

Identify and explain the benefits and mechanisms of preemptive rights in stock ownership.

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Definitions:

Values and Actions

Values and actions refer to the relationship between what individuals believe in, consider important, and how they behave or act in various situations.

Individual Realms

Focuses on areas or fields where individual actions, choices, or behaviors are predominant.

Presumption

An assumption or belief that is taken as true without concrete evidence to support it.

Administrative Competence

Refers to the ability to effectively manage, direct, and apply administrative processes and practices.