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What is a common skeletal changes seen in osteoporosis in the elderly?

Which of the following characteristic is NOT true of innocent murmurs?

One of the reasons that the elderly are more prone to life-threatening pneumonia is:

24 hours later the patient’s condition improves, and the decision is made to switch from fixed rate insulin infusion to a basal bolus insulin regimen.   With reference to Appendix 1 in the resource, what is the maximum estimated total daily dose of insulin recommended for this patient? Answers should be rounded to the nearest whole unit    

While auscultating heart sounds on a 7 year-old who is in for a “routine physical” you hear a soft murmur at left midsternal border heard between S1 and S2, and a venous hum when standing. Which of the following would be true regarding these findings?

Which of the following statements is correct regarding stenotic murmurs that occur due to a defect in the aortic valves:

Lennie, a 15 year old athlete is in for a follow-up exam. He recently injured his right leg playing football. He is able to raise his right leg off of the exam table, as long as there is no resistance applied. How would your grade the strength of his right leg?

Mr. Sputami, a 59 year-old divorced salesman, comes to your office for a routine exam. He states that he has had “no big problems”, but seems to be getting tired lately. “It’s sometimes all I can do to get home from work and lie down.” He admits to smoking one pack of cigarettes daily since age 18 years. Denies a history of asthma, CAD, or other pulmonary or cardiac illnesses. States that he was advised to quit smoking about three years ago when he had a period of “trouble breathing”. He has been unable to quit smoking and has had no breathing problems since. He further states “I cough stuff up every now and then since I had a bad cold a year ago, but I’m really okay.” On further questioning, it seems he has a productive cough almost daily, worse in the morning. On physical exam, Mr. S. is a middle-aged male who appears his stated age. His vital signs are: Temp 98.4, pulse 88, respirations 24. He expectorates a small amount of creamy white secretions while you are examining him. His pharynx is not inflamed, nor is there any lymphadenopathy. Auscultation of Mr. S’s lungs reveals scattered crackles and wheezes throughout, with generalized decreased breath sounds. No increased fremitus, AP:lat ratio = 1:1, no tenderness. Peak Flow decreased. The remainder of his exam is normal. Based on history and physical findings, which of the following is the most likely diagnosis?

What advice should be provided to this patient based on their home blood pressure results?

The patient later decides that she would like to start on regular contraception. After discussing the available options she chooses to start a combined oral contraceptive Mercilon (ethinylestradiol 20 micrograms / desogestrel 150 micrograms). She is on day 8 of her menstrual cycle.   How long will it take for Mercilon to become fully effective, so she can safely stop using condoms?