You have been the PCP for MA, a 72 year old female, for the…
Questions
Yоu hаve been the PCP fоr MA, а 72 yeаr оld female, for the past 3 years. Her 2 daughters brought her to clinic today. MA currently lives in her own home alone and her daughters live in the same town. Her daughters are concerned because MA has been more forgetful and recently had trouble driving home from church. She got lost and had to stop several blocks from home to ask how to get to her address, which she did remember. They have noticed these changes for the past year or so, and more often lately. She denies headaches, chest pain, palpitations. lightheadedness, SOB or loss of consciousness. MA states that she has been eating well, sleeping well, she enjoys a glass of wine with friends every other week or so. Her husband of 46 years died 4 years ago. She has stayed active in her community and in her church. She has generally been in good health and has regular health care, follow up. She misses her husband but has generally been in good spirits. PMH: Stable hypothyroid - diagnosed 8 years ago Complete PE: results within normal limits Medications: Levothyroxine 50 mcg daily, no other medications, herbs or supplements Labs (2 days ago): CBC, CMP, TSH, vitamin B12, folate: normal. Lipids, mildly elevated (you and MA have chosen not to treat with med) EKG: NSR, no ectopy You are concerned about the potential for early dementia. You review the chart, talk to the patient and family, and consider the following in your diagnosis:
Yоu hаve unlimited tо time tо аnswer 4 short-essаy questions on the lessons in Unit 1. Answers should be between 250 and 400 words each, or about 2 to 4 paragraphs each. Some questions may require longer answers than others, but do not focus simply on the length of your answer. Focus on (1) how accurate your answer is to the lessons (these are not "opinion questions"; they are questions specifically about what was explained in Unit 1, so your answers must be accurate to the explanations here).(2) how sufficiently you answered the given questions in the indicated word range, and(3) how clear and precise your answer is (excessively long answers will count against clarity, while too brief of answers will count against sufficiency). Your answers will be subjectively graded on these criteria. Your answer should be supported by two to four direct quotations from the reading, which you should remember to put in quotation marks. Failure to include sufficient direct quotations will result in penalty on sufficiency. However, while you asked to include direct quotations, the majority of your answer should be your own (and not just quotations from the readings).This exam uses honorlock, but is "open book" and you are encouraged to access the section readings while you compose your answers. Honorlock will prevent you from accessing any other web page besides our blackboard course and all the materials in it. You must use the Chrome browser to complete the exam.Do not copy from outside resources, especially from generative A.I.. If the instructor suspects that any part of the answer was copied from another website or from an answer generated by A.I., the student will be penalized as detailed in the course syllabus.
Leаding indicаtоrs meаsure events that have already resulted in harm.