Prolonged immobilization and non-weight bearing state after an injury result in:

Select the correct answer. An 85-year-old adult presents to a primary care nurse practitioner with reports of 3 falls in the past 6 months.  One fall occurred at home, and the other two were outside the home in community settings.  The patient reports a medical history of diabetes with peripheral neuropathy, hypothyroidism, hypertension, and gout. The patient currently takes 5 medications on a daily basis.  Which one of the following prescribed medications is most likely contributing to the falls?

Select the correct answer. A primary care nurse practitioner is performing a Medicare wellness exam on an 84-year-old  adult with a history of type 2 diabetes, osteoporosis, hypertension, stage 2 chronic kidney disease, mild cognitive impairment, and osteoarthritis. The patient’s most recent A1C was 7.3%. Vitals at this visit were: B/P 138/86; Pulse 62; R: 16, Weight 75kg (unchanged since last visit). The patient resides with a family caregiver who supervises care and medication administration. Current medications are: metformin (Glucophage) 1000 mg twice daily enalapril (Vasotec) 5 mg twice daily bandronate (Boniva) 150 mg monthly naproxen (Naprosyn) 220 mg every 12 hours as needed for arthritic pain In collaboration with the patient and caregiver recommendations which of the following should be incorporated into this patient’s plan of care? 

A los puertorriqueños les gusta mucho el deporte. ¿cuáles son los deportes que más les gustan?

Which of the following medications is first-line therapy for lupus nephritis in pediatric SLE patients?

Gramática II. Prof. Luna is writing Isabela an email to thank her for nominating him. Choose the correct form of saber or conocer based on the context.  Buenos días, Isabela: Tú  que siempre he soñado con (dreamed about) colaborar con el Museo de Arte Moderno en Nueva York, ¿verdad? Pues, gracias a ti voy a tener la oportunidad: gané (I won) el premio de Mejor Profesor, y el dinero extra me va a permitir estar fuera un semestre. Yo no Puerto Rico y que no va a ser fácil buscar un apartamento, pero ¡tengo muchas ganas de vivir en San Juan! El comité cree que me conoce bien por las cartas de apoyo que recibió (it received), pero ellos no  que yo a los estudiantes más bondadosos y generosos de la universidad. De verdad, recibir el premio es estupendo, pero me gusta más  que tú y muchos de mis estudiantes aprecian mis clases. Gracias de nuevo, DLE

A 70-year-old adult presents for a primary care visit reporting periods of forgetfulness over the past several months. The patient reports difficulty concentrating, has missed several appointments with friends and family and forgot to pay the electric bill. The patient lives with a long-term partner and has children and grandchildren who reside locally. The patient is a retired factory worker and reports enjoying retirement, swims for 45 minutes daily, and reports being active with family and social activities.  Past medical history is positive for osteoarthritis and type 2 diabetes which is well-controlled with metformin.  Vitals: B/P 124/80; pulse 82 regular; R 16; T 97.8 The physical examination is unremarkable. Geriatric Depression Scale score is 2 and a score of 28 out of 30 is observed  on the St Louis University Mental Status Exams (SLUMS) assessment.  What additional diagnostics should be incorporated in the initial evaluation of this patient? 

A resistive index (RI) greater than 0.7 is typically indicative of:

What is “total assets” on the year-end balance sheet?

 Which congenital renal condition presents with hyperechoic medullary pyramids due to calcium deposits?