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Your 79 year old patient, Betty, comes to the clinic complaining of palpitations and irregular fast pulse on an intermittent basis for about a week, sometimes lasting for 30-40 minutes at a time. She feels short of breath when it occurs, but feels fine at the time of your visit this morning. You are most concerned your patient has which of the following diagnoses:

Mimi, age 52, watched a CNN and there was a news story reporting controversies regarding what age women should have routine screening mammograms. You respond:

Which of the following are true regarding maintaining an A1C at 7% or lower?

You are seeing Mr. Green, a 67 year old male, for the first time. He has had Type 2 diabetes for the past 16 years.  Although he has been on insulin for 2 years, he does not maintain optimal control, as his A1C remains 8-9 most of the time.  You see on his chart was prescribed an ACE inhibitor 2 year ago, after being found to have microalbuminuria.  This was likely done as Mr. G is at risk for:

Which factors in the patient’s history would put them at risk for cataracts?

**Donald is 65 y/o who presents to the clinic with c/o not being able to empty his bladder with voiding.  He states that he still feels like he has to go even though he just urinated.  You want to get a good history and find out more about his symptoms.  What testing would be most helpful with gaining more knowledge about his complaints?  

*  You are seeing a 1 year old who has a low hemoglobin.  Which of the following is the most likely culprit for this diagnosis?

*The mother of a 13-year-old girl expresses concern that her daughter, who is 5 ft 10 in. (154 cm) tall, is taller than everyone in her class and will continue to grow. She reached menarche at 12.5 years. You tell the mother

Patient education for a 29 y/o female with a new diagnosis of irritable bowel syndrome would include the following:

**Donald is 65 y/o male who presents to the clinic with c/o not being able to empty his bladder with voiding.  He states that he still feels like he has to go even though he just urinated.  You want to get a good history and find out more about his symptoms.  What testing would be most helpful with gaining more knowledge about his complaints?