A large pulsative mass is felt in the periumbilical location, it is concerning for what? 

Choose the impairment that results from damage to the appropriate part of the motor system.

Which one(s) are good for health

Which theory suggests that the strength of a person’s bond to social institutions will predict and explain first delinquent and then criminal involvement over the entire life course?

Which traits are life-course persistent offenders more likely to manifest compared to adolescent-limited offenders?

Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is?

Which of the following age-associated physiologic changes is most likely to impact the gastrointestinal absorption of orally administered medications in older adults?

Mr. Hernandez is a 78-year-old man with a history of hypertension who presents for his routine follow-up. He is moderately built and reports that he feels well. His physical exam is unremarkable. Recent labs show a serum creatinine of 1.3 mg/dL, which is slightly above the reference range. His creatinine was 1.0 mg/dL one year ago. Which of the following best explains the clinical significance of this finding in an older adult?

A 52-year-old patient with central obesity, hypertension, impaired fasting glucose, and dyslipidemia meets diagnostic criteria for metabolic syndrome. What is the most important initial goal in managing this condition?

A 49-year-old woman presents with new-onset urinary retention, fecal incontinence, saddle anesthesia, and progressive bilateral lower extremity weakness. On exam, she has decreased anal sphincter tone and diminished patellar reflexes. What is the most appropriate next step in management?