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A 75-Year-Old Woman Comes to the Office Due to Difficulty

question 810

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A 75-year-old woman comes to the office due to difficulty with memory and thinking.  The patient has stopped going for walks and has not attended bingo in months; she explains that these activities are no longer enjoyable.  She has low energy and difficulty falling asleep.  Her appetite has decreased, and she has lost >6.8 kg (>15 lb) in the past 3 months.
Medical history is significant for hypertension, well-controlled epilepsy, and type 2 diabetes mellitus.  The patient lives alone and drove herself to today's appointment.  She has not gotten lost while driving and has had no difficulty caring for herself.
Blood pressure is 138/84 mm Hg, pulse is 76/min, and respirations are 14/min.  Neurologic examination is nonfocal, and she scores a 26/30 on the Montreal Cognitive Assessment.  Laboratory results, including thyroid function studies, are normal.
Which of the following is the most appropriate pharmacotherapy?

Comprehend the empirical method of test construction and its application in developing measures for psychological constructs like depression.
Identify the characteristics of open science practices and their importance in psychological research.
Understand the significance of effect size in evaluating the magnitude of study findings and the implications for psychological research.
Recognize the role of factor analysis in test construction and trait theory, including how it is utilized to construct objective tests and identify fundamental psychological traits.

Definitions:

Long Run

A period in economics sufficient for all factors of production and costs to be variable, allowing firms to adjust to market conditions fully.

Bumper Crops

An exceptionally large crop yield, often much higher than average.

Gross Incomes

The total income received before any deductions or taxes are applied.

Price Elasticity of Demand

The evaluation of how the quantity demanded for a product is influenced by price movements.

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