A 36-Year-Old Woman, Gravida 1 Para 0, at 30 Weeks

question 423

Multiple Choice

A 36-year-old woman, gravida 1 para 0, at 30 weeks gestation comes to the office for a prenatal visit.  The patient is a landscape designer and has noticed skin changes over the past few weeks because she has spent more time in the sun.  She has progressive darkening of the face, particularly over the nasal bridge and cheeks, and increasing freckles on the upper and lower extremities.  The patient also has increased hair on the upper lip and itching over the stretch marks on the abdomen and chest.  On examination, there is hyperpigmentation over the cheeks and nasal bridge that spares the nasolabial folds.  The upper lip has multiple dark terminal hairs.  The abdomen is gravid and nontender with multiple erythematous papules within the striae on the abdomen and chest.  The chest also has multiple blanching, 1- to 2-cm spider angiomas.  There is a black-tan nevus with irregular borders on the lower extremity and multiple freckles on bilateral extremities.  The remainder of the examination is unremarkable.  Which of the following findings is most concerning in this patient?

• A)Centrofacial hyperpigmentation
• B)Increasing abdominal pruritus
• C)Increasing upper lip hair
• D)Multiple spider angiomas
• E)Nevus with irregular borders

Grasp the concept of relevant geographic market analysis in antitrust cases.

Identify statutory defenses and exceptions in antitrust violations.

Comprehend the scope and application of the Clayton Act and the Robinson-Patman Act.

Explain the role and implications of interlocking directorates under antitrust laws.

---

Definitions:

SBUs

Strategic Business Units, which are smaller entities within a larger corporation that operate as separate profit centers.

Quadrant A

Often part of a matrix or chart classification system, Quadrant A could refer to a specific sector defined by two variables used in strategic analysis or planning.

BCG Business Portfolio

A strategic analysis tool developed by the Boston Consulting Group that categorizes a company’s business units or products based on their market growth rate and market share.

SBUs

Strategic Business Units are organizational subunits of a larger corporation, each responsible for its own profitability and strategic direction.