A 68-Year-Old African American Man Is Evaluated for Several Weeks

question 80

Multiple Choice

A 68-year-old African American man is evaluated for several weeks of progressive fatigue.  His other complaints include abdominal discomfort, lower extremity edema, and chronic dry cough.  He has not experienced fever, chills, or weight loss.  He has a history of type 2 diabetes mellitus diagnosed 5 years ago, hypertension, and hyperlipidemia.  Current medications include amlodipine, lisinopril, metformin, glyburide, and rosuvastatin.
His temperature is 37.1 C (98.8 F) , blood pressure is 165/92 mm Hg, pulse is 84/min, and respirations are 16/min.  Examination shows a 2/6 systolic ejection murmur along the left sternal border without radiation and 2+ pretibial edema bilaterally.
Laboratory results are as follows:

Chest X-ray shows mild cardiomegaly and small bilateral pleural effusions.
Which of the following is the most likely diagnosis?

• A)Acute interstitial nephritis
• B)Diabetic nephropathy
• C)Focal segmental glomerulosclerosis
• D)Multiple myeloma
• E)Sarcoidosis

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Definitions:

Bargaining Climate

The environment or conditions under which negotiation or bargaining occurs, including attitudes, relationships, and the surrounding context.

Verbal Negotiation Tactics

Strategies used in dialogue to persuade or influence an opposing party to reach a desirable outcome or agreement.

Warning

A statement or event that indicates a possible or impending danger, problem, or other unpleasant situation.

Threat

Anything that poses a potential danger to the safety, security, or well-being of individuals or organizations.