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A 61-Year-Old Woman Comes to the Office Accompanied by Her

question 279

Multiple Choice

A 61-year-old woman comes to the office accompanied by her daughter due to headaches. The headaches occur 2 or 3 times a week and feel like "a band around my head that someone is constantly tightening." The patient also reports excessive tiredness, restless sleep, and decreased appetite, attributing these symptoms to aging. She has no visual disturbances, dizziness, vomiting, weakness, or other neurologic symptoms. The patient experienced similar headaches a few years ago; after they restarted 2 months ago, she was persuaded by her daughter to get evaluated. The daughter mentions that her mother moved in with her a few months ago due to recent unemployment and financial concerns. Since moving, the patient has not been going out with friends and says, "I get anxious driving from my daughter's house because I don't know the roads." She was diagnosed with type 2 diabetes mellitus 2 years ago; hemoglobin A1c was 5.8% 2 months ago. Medications include metformin and ibuprofen as needed. Medical history is otherwise noncontributory. Vital signs are within normal limits, and physical examination is unremarkable. Which of the following is the most appropriate next step in management of this patient?

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Capital

Refers to financial assets or the financial value of assets, such as machinery and buildings, used in producing goods and services.

Net Exports

The value of a country's total exports minus its total imports, indicating whether a country has a trade surplus or deficit.

Gross Investment

Total amount of investment in an economy, including investments in new capital assets and replacement of depreciated assets.

Gross Savings

The total amount of savings accumulated by the economy before depreciation is taken into account.