You are seeing a 69-year-old female patient complaining of fatigue and nausea. She has a history of heart failure and two previous myocardial infarctions. She reports having blurred vision with halos around objects. Her blood pressure is 144/88 mmHg, her pulse is 110 and irregular, and her ventilations are 16. What should you suspect is causing her symptoms?

A) Impaired cerebral perfusion secondary to heart failure
B) Acute closed-angle glaucoma
C) Toxic blood levels of digoxin
D) Cerebral embolus secondary to atrial fibrillation


C

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20 : 5 = 240 :?

What will be an ideal response?

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Which of the following will decrease a person's metabolic rate?

A) Fever B) Sleep C) Exercise D) Stress

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Scurvy is the result of a deficiency of:

A) vitamin B B) vitamin C C) vitamin D D) thiamine

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What does the author suggest the future holds?

A) significant problems after the Supreme Court made the expansion of Medicaid optional B) healthy expansion along the lines of Social Security, which started small and grew big C) fairly clear sailing after the Supreme Court's 5-4 decision in favor of the law D) hard work to protect a law that does not deliver big tangible benefits for years to come

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