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68. According to JNC-8 guidelines, all of the following medications are first-line agents for use in a middle-aged white man without diabetes mellitus except:

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 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?

69. Which of the following is most is most consistent with a person presenting with unstable angina?

31. The most important long-term goal of treating hypertension is: 

23. Tim, age 59,  presents with sore throat, tonsillar exudates, fever and cervical adenopathy. There is no cough. There is a high probability of which causative agent:

67. Which of the following is not an age-associated change of the cardiovascular system expected in the older adult?

51. Expected findings in AOM include:

39. Heart failure pathophysiology is characterized by:

21. Which of the following is most consistent with a 50-year old man presenting with acute MI (myocardial infarction)?