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A 56-Year-Old Man Comes to the Office Due to Progressively

question 373

Multiple Choice

A 56-year-old man comes to the office due to progressively worsening fatigue, difficulty concentrating, and increasing forgetfulness over the past several weeks. In addition, the patient has had vague abdominal pain and constipation and has gained 2.7 kg (6 lb) unintentionally over the last 3 months. Medical history is significant for hypertension, nonischemic cardiomyopathy with left ventricular systolic dysfunction, and atrial fibrillation. Blood pressure is 140/90 mm Hg and pulse is 75/min. Physical examination reveals regular heart sounds with normal S1 and S2. The lungs are clear to auscultation. There is no lower extremity edema, and the skin appears dry. Laboratory studies are as follows: Which of the following medications is most likely responsible for this patient's current symptoms?

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Definitions:

Presentation Currency

The currency in which the financial statements of an entity are presented.

Non-Monetary Items

Items that are measured at historic cost rather than their current monetary value, such as property, plant, and equipment.

Functional Currency

The currency of the primary economic environment in which an entity operates, usually the local currency or the currency of the country where it primarily generates and expends cash.