Which of the following clients who are receiving care at a primary care clinic is most at risk for developing heart disease?
1. Elizabeth Elliot, a 55-year-old schoolteacher who is 30 pounds overweight, does not smoke, and has no family history of heart disease. Her blood pressure is 124/84 mm Hg, and her cholesterol is 220 mg/dL.
2. Frank Fuller, a 45-year-old insurance salesman who is near his optimal weight, does not smoke, and has a family history (father) of heart disease. His blood pressure is 140/92 mm Hg, and his cholesterol is 180 mg/dL.
3. Grace Geer, a 42-year-old bank executive who is 15 pounds overweight, smokes 1 pack per day, and has a family history (both grandfathers) of heart disease. Her blood pressure is 130/68 mm Hg, and her cholesterol is 190 mg/dL.
4. Harlan Harris, a 54-year-old truck driver who is 25 pounds overweight, smokes 1 pack per day, and has a family history (father, grandfather) of heart disease. His blood pressure is 136/92 mm Hg, and his cholesterol is 250 mg/dL.
Question 2
Which of the following clients who are receiving care at a primary care clinic is at greatest risk for developing diabetes?
1. Alicia Allen, a 35-year-old Native American who is 30 pounds more than her recommended weight and being seen for family planning
2. Ben Bradley, a 40-year-old African American who is being seen for hypertension
3. Carlos Chavez, a 21-year-old Hispanic who is being seen for a preemployment physical
4. Darlene Davis, a 44-year-old Caucasian who is 25 pounds more than her recommended weight and is having menstrual irregularities
Primary, secondary, and tertiary endosymbiosis.
Checking teeth and other physical examinations are an important part of horse care.
It is important to ask patients what other health care providers they are seeing, such as the dentis
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