60. A 19-year-old college student presents with fever, fatig…

60. A 19-year-old college student presents with fever, fatigue, sore throat, and diffuse lymphadenopathy. A physical exam reveals pharyngeal petechiae and mild splenomegaly. A rapid strep test is negative. Which of the following is the most appropriate next step for confirming the diagnosis, and what test should be performed if the initial test is negative but suspicion remains high for infectious mononucleosis?

63. A 78-year-old woman has hypertension, a 100 pack-year hi…

63. A 78-year-old woman has hypertension, a 100 pack-year history of cigarette smoking, peripheral vascular disease, and a reduced renal function (GFR =47 mL/min/1.73m2). Triglyceride level is 280 mg/dL. (3.164 mmol/L); high density lipoprotein (HDL) is 48 mg/dL (1mmol/L); and low-density lipoprotein (LDL) level is 135 mg/dL (3.5 mmol/L). Which of the following represents the most appropriate pharmacologic intervention for this patient’s lipid disorders?