An 80-Year-Old Man Is Being Evaluated for Follow Up Health

question 278

Multiple Choice

An 80-year-old man is being evaluated for follow up health maintinance. he states that he feels shortness of breath after walking a short distant and should stop to catch up the breath. The patient has long-standing hypertension and iritable bowel syndrome but has not always been adherent to his medical regimen.  he was smoking 30 packs per year and stopped 15 years ago after his friend died with a myocardial infarction. Blood pressure is 160/74 mm Hg and pulse is 86/min and regular.  An S4 is heard on cardiac auscultation.  The lungs are clear.  Echocardiogram reveals left atrial enlargement, moderate concentric left ventricular hypertrophy, and a left ventricular ejection fraction of 67%.  Which of the following changes are most likely to be seen in this patient?

• A)A
• B)B
• C)C
• D)D
• E)E

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Grasp the importance of prompt and ethical response to negative information on social media.

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Definitions:

Syndrome of Inappropriate ADH

A condition characterized by excessive release of antidiuretic hormone leading to water retention and hyponatremia (low sodium levels).

Restrict Fluids

A medical recommendation to limit the amount of liquids consumed, often used in conditions where the body is retaining too much fluid.

Hypoparathyroidism

A rare condition where the parathyroid glands produce too little parathyroid hormone, leading to low calcium levels in the blood.

Serum Phosphorus

A measurement of the amount of phosphorus in the blood, crucial for bone formation, energy storage, and muscle function.