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A 73-year-old man has both erectile dysfunction and botherso…

A 73-year-old man has both erectile dysfunction and bothersome BPH symptoms. Which finding would make tadalafil inappropriate?

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An 82-year-old patient with severe sarcopenia has a serum cr…

An 82-year-old patient with severe sarcopenia has a serum creatinine of 0.7 mg/dL. Despite the apparently normal creatinine, the clinician suspects reduced kidney function. Which test would most improve the assessment?

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A 76-year-old patient presents with newly developed restless…

A 76-year-old patient presents with newly developed restless legs syndrome. Which laboratory evaluation is most appropriate?

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Which set of ‘Triple Whammy’ medications should be temporari…

Which set of ‘Triple Whammy’ medications should be temporarily held in an 82-year-old patient presenting with acute volume depletion and AKI?

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For a ‘Category 1’ healthy older adult with diabetes on insu…

For a ‘Category 1’ healthy older adult with diabetes on insulin, what is the minimum frequency for Self-Monitoring of Blood Glucose (SMBG)?

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Which finding is most suggestive of primary adrenal insuffic…

Which finding is most suggestive of primary adrenal insufficiency rather than secondary/tertiary adrenal insufficiency?

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A healthy 66-year-old woman has used menopausal hormone ther…

A healthy 66-year-old woman has used menopausal hormone therapy for persistent vasomotor symptoms. She has no history of breast cancer, stroke, venous thromboembolism, or coronary artery disease. She asks whether the therapy must be discontinued because she is older than 65 years. Which response is most appropriate?

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What is the recommended first-line pharmacological therapy f…

What is the recommended first-line pharmacological therapy for knee osteoarthritis in an older adult with Stage 3 CKD?

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A 76-year-old patient has knee osteoarthritis with persisten…

A 76-year-old patient has knee osteoarthritis with persistent pain despite exercise, weight management, and appropriate topical therapy. Which intervention may provide short-term improvement?

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An 84-year-old hospitalized patient has a total calcium leve…

An 84-year-old hospitalized patient has a total calcium level of 7.9 mg/dL and a markedly decreased serum albumin level. The patient has no symptoms of hypocalcemia. Which test best determines whether biologically active calcium is actually low?

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