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A 56-year-old female with non-ischemic heart failure and hypertension presents to the office for a routine follow-up. Her last hospitalization for a congestive heart failure (CHF) with HFrEF (reduced ejection fraction) exacerbation was two years ago. She is currently not complaining of shortness of breath, orthopnea, lower leg edema, or chest pain. She has been following a low-salt diet and does not drink alcohol. Medications:  carvedilol, 81 mg asa Home blood pressure measurements have ranged from 140-150/80-90 mmHg Physical exam findings: Blood pressure: 150/90 mmHg Heart rate: 60 beats/minute, S1S2 with no murmurs or gallops Her respiratory rate is 12/minute Her jugular venous pulse and pressure (JVP) is within the normal range and her lungs are clear bilaterally Her point of maximal impulse (PMI) is laterally displaced What medication should you add that can also improve her mortality from heart failure?

A 28-year-old female returns to the clinic to see you. You initially treated her for moderate depression with fluoxetine (Prozac), an SSRI, 20 mg daily. You recommended a follow up visit in 3-4 weeks. She missed that appointment, she was feeling less depressed and canceled her appointment.   Two months have gone by, she called your office this morning and asked to schedule an appointment with you.  She is feeling a bit “crazy and manic” on the fluoxetine.  She is rushing around, laughing a lot, and experiencing more anxiety. She has a family history of severe mood swings, she passed it off as just that. Based on this information, what is the most likely, or leading diagnosis for this person: 

When they heard that their grandma had died, they ___________________.

Many refugees _________ their belongings when they had to leave their country quickly.

Which word means “very poor”?

Write the correct word in the box below: draft (n), grave (adj), dreaded (v), gloomily (adv), intolerable (adj), intimidate (v),  solitude (n),plague (v),  obsession (n), coax (v) Their dream for ______________ finally came true when they were able to afford to buy a house on the mountain top, far away from the noise of the city. [BLANK-1]

I _______ happily when I got an A on the test. 

Choose the most appropriate vocabulary:When we travel, we always _________________ at the beautiful scenery.

The boy has no friends because other children don’t like his ________.

Write the correct word in the box below: draft (n), grave (adj), dreaded (v), gloomily (adv), intolerable (adj), intimidate (v), solitude (n), plague (v),  obsession (n), coax (v) Don’t _____________ him.  He’s not going to lose his job because he made one single mistake. [BLANK-1]