To produce an adequate blood level to yield the desired therapeutic effect, some drugs require:

A. a loading dose
B. a maintenance dose
C. a prophylactic dose
D. a therapeutic dose

a
Rationale: A loading dose may be required for some drugs to produce an adequate blood level to yield the desired thera-peutic effect. This dose would then be followed by smaller maintenance doses to maintain an adequate blood level.

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Please identify the documented ROS elements and the supporting findings. How does the documented ROS provide greater information about the CC and the HPI?

HPI: 68-year-old male presents to the Emergency Department with a four-day history of loose stools. Patient states that over the past several days he has had at least six to 10 loose, watery stools per day. No hematochezia or melena. He denies any fever or abdominal pain. No chest pain, shortness of breath, or peripheral edema. Did see his primary care physician several days ago, who increased his metoprolol to 100 mg daily. PMH: 1. Coronary artery disease, status post CABG 2002 2. Sternal osteomyelitis, status post CABG 3. Gout 4. Chronic renal insufficiency, baseline creatinine 2.0 5. Ischemic cardiomyopathy, last echocardiogram 5/21/2012, EF 32% 6. Peripheral neuropathy 7. Diabetes Mellitus, type II (noninsulin dependent) 8. Hypertension 9. Appendiceal abscess, hospitalized 3/2010 to 4/2010, treated by conservative medical management only 10. Mild COPD ROS: As per HPI. Medications: 1. Metoprolol ER 100 mg by mouth daily (dose increased three days ago) 2. Amitriptiline 25 mg by mouth at night 3. Plavix 75 mg by mouth daily 4. Aspirin 81 mg by mouth daily 5. Lisinopril 20 mg by mouth daily 6. Spirinolactone 25 mg by mouth daily 7. Lasix 40 mg by mouth daily 8. Colchicine 0.6 mg by mouth daily 9. Simvistatin 20 mg by mouth every night 10. Glipizide 10 mg by mouth daily What will be an ideal response?

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The most commonly occurring cancer of the female reproductive tract is _____ cancer

a. cervical. b. ovarian. c. endometrial. d. fallopian.

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