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A 71-Year-Old Woman Comes to the Physician Because of Increasing

question 711

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A 71-year-old woman comes to the physician because of increasing mid-back pain for the last 2 weeks.  The pain has not improved with ibuprofen and acetaminophen combined with oxycodone.  The pain limits her ambulation, dressing, and housekeeping.
Her temperature is 36.5 C (97.7 F) , blood pressure is 130/70 mm Hg, pulse is 86/min, and respirations are 14/min.  Her back examination shows moderate tenderness in the mid-back along the vertebral column.  She has an otherwise unremarkable examination.
A lateral spine film reveals diffuse osteopenia with a vertebral compression fracture of T10.  Blood for a complete blood count, metabolic panel, alkaline phosphatase, and 25-hydroxy vitamin D has been obtained.
Which of the following is most likely to provide early pain relief in this patient?

Understand the limitations of binary gender classifications and recognize the diversity of gender identities beyond the traditional male and female categories.
Analyze how the existence of transsexuals and two-spirits challenges traditional conceptions of gender.
Comprehend the benefits of viewing sexual variation as a continuum rather than categorizing behaviors within binary opposites such as natural/unnatural, normal/abnormal, or moral/immoral.
Gain insights into the diverse expressions of human sexuality across different cultures and historical periods.

Definitions:

Stolen Car

A vehicle that has been taken without the owner's consent, often leading to criminal charges against the person in possession.

Breach of Warranty

The failure to fulfill the terms of a promise or guarantee made about the quality or condition of a product or service.

Mixed Sale

Involves a transaction that includes a combination of taxable and nontaxable items or services, often requiring special considerations for tax calculation and reporting.

Goods with Services

Transactions that involve a combination of physical products and the provision of services as part of the offering.

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