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A 65-Year-Old Woman Comes to the Office Reporting Progressively Increasing

question 216

Multiple Choice

A 65-year-old woman comes to the office reporting progressively increasing orthopnea, daytime fatigue, and morning headache for the last month. She has had no chest pain or problems with swallowing or speech. Medical conditions include myocardial infarction, type 2 diabetes, hypertension, and amyotrophic lateral sclerosis. Temperature is 37 C (98.6 F) , blood pressure is 130/70 mm Hg, pulse is 88/min, and respirations are 16/min. Pulse oximetry shows 95% on room air. BMI is 24 kg/m². Examination shows normal jugular venous pressure, clear lungs, and normal heart sounds. There is no peripheral edema. Neurologic examination shows 3/5 power in right lower extremity and 4/5 power in left lower extremity and muscle atrophy, unchanged from her last examination 2 months ago. Laboratory results are as follows: Which of the following is the most appropriate next step in management?

Understand the concept and implications of cultural relativism in ethical judgments.

Recognize the impact of high and low power distance on organizational cultures and employee beliefs.

Describe the principles of character theories of ethics and their relevance to individual behavior.

Understand the role and importance of ethical theories in moral reasoning and decision-making.

Definitions:

Axial Skeleton

The part of the skeleton that consists of the bones along the axis of the body, including the skull, vertebral column, and rib cage.

Facial Skeleton

The framework of bones that supports the face, including the jaw, cheekbones, and nasal bones.

Thoracic Skeleton

The part of the skeleton that comprises the ribs, thoracic vertebrae, and sternum, providing protection and support to the thorax.

Appendicular Skeleton

The Appendicular Skeleton comprises the bones of the limbs and girdles that are attached to the axial skeleton, facilitating movement and supporting the weight of the body.