Older Adults Exam #3

During a routine health maintenance examination, the provider auscultates a cervical bruit. The patient denies syncope, weakness, or headache. What will the provider do, based on this finding? {Ans: Order a carotid duplex ultrasound}A 70-year old male patient has an aortic aneurysm measuring 5.0 cm. The patient has poorly-controlled hypertension, and decompensated heart failure. What is the recommendation for treatment for this patient? {Ans: Serial ultrasonographic surveillance of the aneurysm}A patient with stage 1 sarcoidosis who is taking a non steroidal anti-inflammatory medication to treat joint discomfort develops mild dyspnea and cough. Which medication will be added to treat this symptom? {Ans: A oral corticosteroid}A young adult patient develops a cough persisting longer than 2 months. The provider orders pulmonary function tests and a chest radiograph, which are normal. The patient denies abdominal complaints. There are no signs of rhinitis or sinusitis and the patient does not take any medications. What will the provider evaluate next to help determine the cause of this cough? {Ans: Methacholine challenge test}A young female patient has known mitral valve prolapse. During a routine health maintenance exam, the provider notes an apical systolic murmur and a mid systolic click on auscultation.