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A 61-Year-Old Woman Comes to the Office Due to Insomnia

question 57

Multiple Choice

A 61-year-old woman comes to the office due to insomnia. She describes difficulty both falling and staying asleep over the past 6 months. Her insomnia varies and is much worse some days than others. In the mornings, she wakes up half an hour earlier than she would like and rarely feels well rested. The patient has tried several over-the-counter sleep medications, but they make her feel too tired the next day. She is not aware if she snores. The patient drinks a glass of wine several times a week and does not use illicit drugs. She has a history of osteoarthritis and major depression for which she takes ibuprofen and venlafaxine. She has lived alone since her divorce 2 years ago and maintains close relationships with her adult children and grandchildren. The patient is worried about one son who recently lost his job, but she has had no change in mood or appetite. Physical examination is noncontributory.
Which of the following is the most appropriate next step in management of this patient?

Understand the concept and calculation of the four-firm concentration ratio in various market structures.

Recognize the significance of the Herfindahl index in measuring market concentration and its implications for competition.

Analyze the transition of market structures from monopolistic competition to oligopoly and its effects on concentration ratios.

Understand the dynamics of interindustry competition and its effects on market structure.

Definitions:

Apgar Score

A quick test performed on a newborn at 1 and 5 minutes after birth, assessing five criteria to evaluate the baby's physical condition and determine any need for further medical intervention.

Emergency Care

Medical services provided for illness or injury requiring immediate attention to prevent a serious threat to health, life, function, or wellbeing.

Phenotype

The collection of traits visible in a person that emerge from how their genetic code interacts with their surroundings.

Genes

Sequences of DNA or RNA that code for proteins and determine the inherited traits and characteristics of an organism.