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A 62-Year-Old Man with a History of Hypertension Comes to Establish

question 137

Multiple Choice

A 62-year-old man with a history of hypertension comes to establish care. He recently moved to the area and states that his prior physician was treating him for high blood pressure. The patient has no current symptoms and feels healthy. He describes his lifestyle as mostly sedentary but reports no limitations with walking at a fast pace. The patient takes chlorthalidone and losartan for hypertension. Five years ago, he was diagnosed with hyperlipidemia and was offered medication but refused. The patient has never smoked and does not drink alcohol. His father had open-heart surgery at age 70, but the patient cannot provide further details. He has 2 siblings, both of whom are healthy. Blood pressure is 162/80 mm Hg and heart rate is 72/min. An ejection-type systolic murmur is heard at the right upper-sternal border. Which of the following findings is most consistent with severe aortic stenosis in this patient?

Understand the organization and content of a cover letter.

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Definitions:

Sales Taxes Payable

Liabilities for sales taxes collected from customers on behalf of governmental authorities, which are to be remitted to those authorities.

Cash Register

A mechanical or electronic device for registering and calculating transactions, often equipped with a cash drawer.

Sales Tax

A tax paid to a governing body for the sales of certain goods and services, usually collected by the retailer.

Entry Record

The documented recording of a financial transaction in an accounting system.