You have been following a patient with serial US for presence of an abdominal aneurysm (AAA).  On initial diagnosis, it measured 3.5 cm.  You note the most recent report indicates it now measures 6.2 cm in diameter.  She continues to be asymptomatic.  What is your best plan of care?

According to the latest GOLD guidelines, which vaccinations would you recommend for your 60-year-old patient with COPD? Select all that apply. 

While obtaining a history, your patient states, “You know, whenever I bend over to put on my socks and shoes, I get really short breath. How weird is that?” How would you document this in your note in the patient’s chart?

Mrs. McGitty is an 83-year-old patient in the nursing home. She has rheumatoid arthritis and is on daily steroid therapy. She was recently exposed to TB. The initial PPD is negative. What would be your most appropriate action? 

You suspect a patient has peripheral arterial disease. Which is (are) part of your treatment plan? Select all that apply. 

Your 70-year-old patient comes to clinic with complaints of dyspnea and bilateral lower leg edema. You suspect her heart failure is exacerbating. Her meds include sacubitril/valsartan, furosemide, and dapagliflozin. Which lab would best assist you in diagnosing the worsening heart failure?

What is the total dose in mg of tPA the patient should receive? (Round answer to the nearest 10th if needed; do not need to include label.) 

____________________ that occurs when the consumer has spent all the income and the marginal utilities per dollar spent on each good purchased are equal.

Suppose a consumer of goods x and y is maximizing total utility.  , where MU indicates marginal utility and P indicates price of good.  In this case, a consumer will likely to purchase _________________

________________ is the outcome that occurs when people place a higher value on something simply because they own it.