52yo man comes to the physician for a f/up exam. he has a 4y hx of htn and a 1y hx of hypokalemia. current meds include labetolol, enalapril and kcl. his bp is 154/90. the remainder of the exam shows no abnormalities. his fasting serum aldosterone: renin ratio is increased. a ct scan shows a 1cm l adrenal mass. adrenal vein sampling before and after administration of acth shows b/l hypersecretion of aldosterone. which of the following is the most appropriate next step in management?
a. candesartan therapy
b. furosemide therapy
c. spironolactone therapy
d. b/l adrenalectomy
e. u/l adrenalectomy

Eyes: snellen chart, cataract risk factors, accommodation lungs: locations, names and descriptions of all normal and abnormal lung sounds. how would i do a bowel assessment? what are the characteristics of pulses and locations where they can be checked? what are the newest guidelines for mammograms? what is the age range for risk factor for testicular cancer? what risk factors are modifiable? what are some examples of primary lesions? compare and contrast at least three different types of lesions. how would you classify a mosquito bite? a tick bite? a shingles rash? how are primary lesions different from secondary lesions? when would you use the bell vs. the diaphragm on the stethoscope?

Which of the following represents the results of a review of well-controlled studies of vitamin c supplementation on the resistance to, and recovery from, colds? there was a reduction in the duration of colds by 50% on the average. there was a slight effect on reducing the duration and severity of colds for people taking vitamin c supplements. there was a significant reduction in the duration of colds in people who consumed at least one gram a day. there was a significant reduction in the number of colds only in people who consumed > three grams per day.

Awoman comes to your genetic counseling center because she knows that huntington disease occurs in members of her family. her paternal grandfather was afflicted, but so far her father shows no symptoms. her two great-great grandmothers on her father's side were healthy well into their 90s, and one of her great-great grandfathers died of unknown causes at 45. testing for huntington disease is extremely expensive, but she is concerned that she may fall victim to this disease and wants to plan her life accordingly. after examining her pedigree you advise her to