An educated 58-year-old woman asks, "I read in a scientific journal that hormonal replacement therapy causes breast cancer. What do you think of that, doctor?"

Here are the answers in the order in which the questions are asked: T, F, T, F, F, F, F, T, F, T, T, F, T, F, T

Global health is an area of study, research, and practice that focuses on improving health and achieving health equity for all people worldwide.

Some common area of focus for Global Health are:

Global health recognizes that health is a fundamental human right and acknowledges that people's health is interconnected across the globe. It emphasizes the importance of addressing health disparities and inequalities, particularly among vulnerable populations such as women, children, refugees, and marginalized communities.

Therefore, global health interventions aim to reduce the burden of disease, improve health outcomes, and promote well-being through collaborative efforts and partnerships between different stakeholders, including governments, non-governmental organizations, academia, and the private sector.

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Tremulousness, shakes, and jitters can begin as early as 6-8 hours after alcohol cessation and may peak within 24-48 hours. However, the timing and severity of these symptoms can vary depending on factors such as the individual's level of alcohol dependence, overall health, and previous experiences with withdrawal symptoms.

It is important to seek medical attention if experiencing severe symptoms or if concerned about potential complications from alcohol withdrawal.

Tremulousness, shakes, and jitters typically begin within 6-24 hours after alcohol cessation. These symptoms are commonly associated with alcohol withdrawal syndrome, which occurs when an individual who has been drinking heavily and consistently stops or significantly reduces their alcohol intake.

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The disease that the 26-year-old male is experiencing, characterized by severe right temporal headaches, ipsilateral rhinorrhea, eye tearing, and redness, occurring at the same time every night for the past week and lasting for 45 minutes, is likely Cluster Headaches.

Based on the symptoms provided, it is possible that the 26-year-old male may be experiencing cluster headaches. Cluster headaches are characterized by severe headaches that occur on one side of the head (ipsilateral) and often affect the temporal region. These headaches may also be associated with symptoms such as rhinorrhea (runny nose), eye tearing, and redness. The fact that the episodes occur at the same time every night for the past week and last for 45 minutes is also consistent with the pattern of cluster headaches. However, it is important to note that a proper diagnosis can only be made by a qualified healthcare professional after a thorough evaluation.

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Syncope or loss of consciousness is a potential differential diagnosis (DDX) for aortic stenosis. Aortic stenosis is a condition where the aortic valve narrows, leading to reduced blood flow from the heart to the rest of the body.

It can cause symptoms such as chest pain, shortness of breath, and fainting. Syncope or LOC (loss of consciousness) can occur in patients with severe aortic stenosis due to a decrease in blood flow to the brain. This may happen during physical activity or when changing positions. It is important to note that syncope can also have other causes such as arrhythmias, hypotension, or neurological conditions.

Therefore, a thorough evaluation is necessary to make an accurate diagnosis and determine the best course of treatment.

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As a nurse, when assessing a young child with Koplik spots on the oral mucous membranes during a clinic visit for a mild respiratory infection, the next step should be to assess the lungs. Koplik spots are a characteristic feature of measles, a viral respiratory infection.

Respiratory infections can cause inflammation and irritation of the lungs, leading to symptoms such as coughing, wheezing, and shortness of breath. Therefore, it is crucial to assess the child's lung function, including listening to lung sounds, checking for any signs of respiratory distress, and monitoring oxygen saturation levels if necessary. While skin, urine, and sputum may provide valuable information, they are not the priority in this situation. Sputum and urine tests may be ordered if the child's respiratory symptoms persist or worsen, or if there is a suspicion of a bacterial infection. Skin assessment may be performed to identify any rash or lesions that may indicate an underlying condition or allergic reaction.

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Answer:

C: The answer is- Probenecid

Static stretching is the type of stretching that will bring about mainly elastic changes.

Elastic changes refer to temporary changes in the muscle length and tension, which means that the muscle will return to its original length after the stretch is released. On the other hand, plastic changes occur in response to prolonged stretching, such as in dynamic stretching, where the muscle lengthens permanently. Therefore, static stretching will bring about mainly elastic changes.

Elastic changes refer to temporary lengthening of muscles and tendons, while plastic changes involve more permanent lengthening. Here's the explanation for each type of stretching:

1. Elastic changes: The type of stretching that mainly brings about elastic changes is static stretching. Static stretching involves holding a stretch position for a certain period (typically 15-30 seconds). This type of stretching temporarily increases the flexibility of muscles and tendons but returns to its original length after the stretch is released.

Your answer: Static stretching primarily brings about elastic changes.

2. Plastic changes: The type of stretching that mainly brings about plastic changes is PNF (Proprioceptive Neuromuscular Facilitation) stretching. PNF stretching involves a combination of muscle contractions and relaxations to achieve a more permanent increase in muscle length. This type of stretching is more advanced and usually performed with the help of a partner or a professional.

Your answer: PNF stretching primarily brings about plastic changes.

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The diagnosis for a 57-year-old male experiencing daily pain in the right cheek, with electric and stabbing pain lasting 2-4 minutes during shaving, is likely Trigeminal Neuralgia.

Trigeminal Neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from the face to the brain.

The pain is typically triggered by activities such as shaving, eating, or talking and can be described as sudden, severe, and sharp. The pain usually lasts for a short duration, as described in the given scenario.

Hence, Based on the symptoms provided, the diagnosis for the patient experiencing electric and stabbing pain in the right cheek while shaving is likely Trigeminal Neuralgia.

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When it comes to cooling foods, it's important to follow proper practices in order to prevent the growth of harmful bacteria. Cooling foods too slowly or incorrectly can result in foodborne illness. It's important to note that all of the following practices are acceptable except one.

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The nurse should immediately clean the site of the injury with soap and water, and then report the incident to their supervisor.

If a nurse accidentally sticks themselves with a needle after insertion into a patient, they are at risk of contracting any diseases that the patient may have, including HIV.

Therefore, it is essential that the nurse takes immediate action to minimize their risk of infection. Cleaning the site of the injury with soap and water can help to reduce the risk of infection, while reporting the incident to their supervisor can ensure that appropriate follow-up measures are taken.

In conclusion, if a nurse accidentally sticks themselves with a needle after insertion into a patient without knowing if they are HIV+, they should clean the site of the injury with soap and water and report the incident to their supervisor immediately. This can help to minimize the risk of infection and ensure that appropriate follow-up measures are taken.

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Out of the medication options listed, only one comes as a chewable tablet, and that is aspirin. Aspirin is commonly used as an over-the-counter pain reliever and fever reducer

The chewable form of aspirin is often recommended for people who have difficulty swallowing pills, such as children or elderly individuals. It is important to always follow the instructions on the label and consult with a healthcare provider before taking any medication.

Aspirin is the medication that comes as a chewable tablet. Aspirin, also known as acetylsalicylic acid, is a widely used medication for pain relief, fever reduction, and inflammation reduction. Chewable aspirin tablets are particularly helpful for individuals who have difficulty swallowing whole tablets, and they can be taken with or without water.

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The diagnostic workup for a patient with chest pain, cough, and fatigue may include a medical history, physical examination, chest X-ray, blood tests, and possibly additional imaging or testing depending on the initial findings.


1. Medical history: The healthcare provider will gather information about the patient's symptoms, duration, and any associated risk factors to help determine possible causes.
2. Physical examination: This involves checking vital signs, listening to the patient's heart and lungs, and looking for any signs of infection or other abnormalities.
3. Chest X-ray: This imaging test can help detect lung infections, such as pneumonia, or other lung problems that may cause chest pain and cough.
4. Blood tests: These may include a complete blood count (CBC) to check for infection or inflammation, and cardiac enzymes to rule out a heart attack.
5. Additional tests: Depending on the initial findings, further tests may be needed, such as an electrocardiogram (ECG), computed tomography (CT) scan, or pulmonary function tests.

A comprehensive diagnostic workup is crucial for identifying the cause of chest pain, cough, and fatigue in a patient. The results of the tests and examinations mentioned above will guide the healthcare provider in determining the appropriate treatment and management plan.

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The symptoms you described are indicative of angina, a type of chest pain that occurs when the heart muscle does not receive enough blood and oxygen due to narrowed or blocked coronary arteries.

Angina is often triggered by physical exertion or emotional stress and typically lasts for a few minutes before subsiding with rest. Given the patient's age and symptoms, it is important to rule out a possible heart attack, which can present similarly to angina. Thus, the patient should seek immediate medical attention and undergo further evaluation, such as an electrocardiogram (ECG) or stress test, to confirm the diagnosis and determine the appropriate treatment plan.

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The immune system response is described as being adaptive, specific, and memory-based. The immune system response is memory-based, meaning that it can remember past encounters with pathogens and mount a faster and more effective response upon subsequent exposure.

The immune system is a complex network of cells, tissues, and organs that work together to defend the body against harmful pathogens such as bacteria, viruses, and parasites. When the immune system detects a foreign invader, it mounts a response to eliminate the threat.

One of the key characteristics of the immune system response is that it is adaptive, meaning that it can learn to recognize and respond to specific pathogens over time. This is achieved through the production of antibodies, which are proteins that bind to and neutralize specific antigens on the surface of the pathogen.

The immune system response is also highly specific, meaning that it is tailored to the particular pathogen it is trying to eliminate. This specificity is determined by the unique receptors on the surface of immune cells that can recognize and bind to specific antigens. This memory is achieved through the production of memory cells, which can live for many years and quickly mobilize to mount a rapid immune response.

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External beam radiation is used to damage cancer cell DNA is True.

External beam radiation therapy is a common form of cancer treatment that uses high-energy beams of radiation to destroy cancer cells. The radiation damages the DNA inside the cancer cells, preventing them from dividing and multiplying. The hope is that the damaged cells will eventually die off, leaving the patient cancer-free.

So, external beam radiation therapy is indeed used to damage cancer cell DNA, making it an effective treatment option for many types of cancer.

External beam radiation therapy is a complex and multifaceted form of cancer treatment that involves careful planning and execution. It typically involves a series of treatment sessions, during which the patient is exposed to carefully targeted beams of radiation. These beams are generated by a machine called a linear accelerator, which is programmed to deliver a specific dose of radiation to the tumor while minimizing exposure to healthy tissues.

The beams of radiation used in external beam radiation therapy are typically high-energy X-rays or protons. These beams are powerful enough to penetrate the body and reach deep-seated tumors, but they are carefully calibrated to avoid damaging nearby healthy tissues. This is achieved through a process called treatment planning, which involves using advanced imaging techniques to create a detailed map of the tumor and surrounding tissues.

Once the treatment plan is finalized, the patient undergoes a series of radiation treatments over the course of several weeks. During each treatment session, the patient lies on a treatment table while the linear accelerator delivers a carefully calculated dose of radiation to the tumor. The treatment itself is painless and typically lasts only a few minutes.

Over time, the radiation damages the DNA inside the cancer cells, preventing them from dividing and multiplying. The hope is that the damaged cells will eventually die off, leaving the patient cancer-free. However, it's important to note that external beam radiation therapy is not always curative and may be used in conjunction with other treatments such as surgery or chemotherapy.

external beam radiation therapy is a powerful tool in the fight against cancer. By damaging cancer cell DNA, it can help to destroy tumors and improve patient outcomes. However, it is important to work closely with a team of medical professionals to determine the best course of treatment for each individual patient.

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Answer:

I could be wrong but i think it is choice 3

Explanation:

Based on the information provided, the most likely diagnosis for the 55-year-old female experiencing dizziness, nausea, and vomiting is acute vestibular neuritis or labyrinthitis. These conditions involve inflammation of the vestibular nerve or labyrinth, respectively, which are responsible for balance and spatial orientation.

The recent URI may have caused a viral infection that has spread to the inner ear, leading to the inflammation and subsequent symptoms. The lack of hearing loss suggests that the infection is not affecting the auditory nerve.

Other potential causes of dizziness and nausea, such as vertigo, migraines, or Meniere's disease, may also be considered but seem less likely given the sudden onset and recent URI.

Further evaluation, such as a physical examination and possibly imaging or vestibular testing, may be necessary to confirm the diagnosis and rule out other potential causes. Treatment may include medications for symptom relief and management of the underlying infection, as well as vestibular rehabilitation exercises to promote balance and decrease dizziness.

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true. Hypotension, or low blood pressure, is a common finding in the initial stage of shock. This occurs because the body is not receiving enough oxygen and nutrients, causing the heart to pump faster and blood vessels to dilate, which leads to a drop in blood pressure.

this is that during shock, the body's compensatory mechanisms are activated to try and maintain blood flow to vital organs. However, if left untreated, shock can progress to more severe stages and lead to organ failure and even death. Therefore, it is important to recognize and treat hypotension in the early stages of shock. In conclusion, hypotension is a significant finding in the initial stage of shock and should be taken seriously to prevent further complications.
Main Answer: True

Explanation: Hypotension, or low blood pressure, is indeed a finding of the initial stage of shock. During the initial stage of shock, the body tries to compensate for the decreased blood flow by constricting blood vessels and increasing the heart rate. However, these compensatory mechanisms may not be enough to maintain normal blood pressure, leading to hypotension.

Conclusion: In the initial stage of shock, hypotension is a common finding as the body tries to compensate for decreased blood flow but may not always be successful in maintaining normal blood pressure levels.

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Defense mechanisms are unconscious psychological processes that help individuals cope with stress, anxiety, and other negative emotions. While some defense mechanisms can be unhealthy and maladaptive, others can be positive and adaptive.

Two defense mechanisms that are always positive are sublimation and humor. Sublimation involves channeling negative emotions into socially acceptable and constructive behaviors, such as engaging in artistic pursuits, sports, or community service. For instance, a person who is struggling with anger or frustration may take up painting or writing as a way to express their emotions in a productive way. Humor, on the other hand, involves finding the lighter side of a difficult situation and using laughter to alleviate stress and tension. Humor can be a powerful coping mechanism that allows individuals to reframe their perspective and reduce negative emotions.

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In order for a diagnosis of PTSD to be made, symptoms need to be present for at least one month. However, it's important to note that the severity and duration of symptoms can vary from person to person and a thorough evaluation by a qualified mental health professional is necessary for an accurate diagnosis.

To diagnose Post-Traumatic Stress Disorder (PTSD), symptoms must be present for at least one month. This duration ensures that the distress experienced is not a temporary response to a traumatic event, but rather a persistent and significant issue requiring professional attention.

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A person can transmit HIV 2-3 days after becoming infected, but the requirements must include a large viral load and a susceptible host.

To provide a more detailed explanation, the viral load refers to the amount of virus present in an infected person's blood. In the early stages of infection, the viral load is typically very high, which increases the likelihood of transmission. However, as the infection progresses and the immune system begins to fight back, the viral load may decrease, making transmission less likely.

The other requirement for transmission is a susceptible host. This means that the person being exposed to the virus must have an opening in their skin or mucous membrane (such as in the mouth, anus, or genitals) that allows the virus to enter their bloodstream. Additionally, certain factors such as a weakened immune system or the presence of other sexually transmitted infections can increase a person's susceptibility to HIV infection.

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Based on the presented symptoms and history of IV drug abuse and needle sharing, the most likely diagnosis for this 26-year-old male is HIV infection. The symptoms of sore throat, fever, rash, and weight loss are common during the acute stage of HIV infection.

It's crucial for the patient to undergo proper testing and receive appropriate medical care.Acute HIV infection, also known as primary HIV infection, is the earliest stage of HIV infection that occurs within 2-4 weeks after exposure to the virus. The symptoms of acute HIV infection are similar to those of other viral illnesses and may include fever, sore throat, rash, muscle aches, fatigue, and swollen lymph nodes. Weight loss can also be a symptom of HIV infection, especially if the infection is advanced.IV drug abuse and sharing needles are high-risk behaviors for HIV transmission, as the virus can be present in the blood and body fluids of infected individuals. It is important for the patient to be tested for HIV and receive appropriate treatment and counseling.

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For a fair comparison of strength levels between two people with different body sizes when lifting the same object, they should measure their relative strength by calculating their strength-to-weight ratio.

The strength-to-weight ratio is the amount of weight lifted relative to the person's body weight. To calculate this ratio, the weight lifted by the person is divided by their body weight.

This allows for a fair comparison of strength levels, as it takes into account the individual's body size and weight. This is important because larger individuals generally have a higher absolute strength but may not necessarily be stronger relative to their body weight.

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Based on the symptoms described, the possible diagnosis for the 32-year-old man could be a severe case of carbon monoxide poisoning. Carbon monoxide is a toxic gas that is colorless, odorless, and tasteless.

When inhaled, it can displace oxygen in the bloodstream and cause respiratory distress, confusion, and headaches. Tachycardia, or a rapid heartbeat, is also a common symptom of carbon monoxide poisoning. The lack of pinpoint pupils or cyanosis suggests that the patient may not be suffering from a drug overdose or other toxic exposure. However, further testing and examination would be necessary to confirm the diagnosis and rule out other potential causes of the patient's symptoms. If carbon monoxide poisoning is suspected, the patient would require immediate treatment to prevent further damage to their organs and tissues. This may involve administering oxygen therapy, hyperbaric oxygen therapy, or other supportive measures to improve respiratory function and promote recovery. Timely diagnosis and treatment are essential to ensure the best possible outcome for the patient.

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It's important to consult with a healthcare professional to determine the most appropriate diagnostic workup for an individual patient.

An old woman presenting with headache, jaw pain, and occasional visual problems should undergo the following diagnostic workup:

1. Medical history and physical examination: Gather detailed information about the symptoms, their duration, and any potential triggers. Conduct a thorough physical exam to evaluate overall health.

2. Visual acuity test: Assess the patient's vision using a standard eye chart to detect any visual problems or changes.

3. Blood tests: Check for any underlying conditions, such as anemia, infection, or inflammation, that could contribute to the symptoms.

4. Imaging studies: Perform a CT scan or MRI of the head to visualize the brain and surrounding structures. This can help identify any abnormalities or issues that could be causing the headache and jaw pain.

5. Temporomandibular joint (TMJ) evaluation: Examine the jaw joint for any signs of dysfunction or damage, as this could be the source of the jaw pain.

6. Ophthalmologic evaluation: Consult an eye specialist to further investigate any visual problems and rule out eye-related conditions, such as glaucoma or retinal disorders.

7. If needed, additional tests or specialist consultations may be conducted based on the initial findings. This could include a neurologist or rheumatologist to assess for conditions like giant cell arteritis or other neurological issues.

Remember, it's important to consult with a healthcare professional to determine the most appropriate diagnostic workup for an individual patient.

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Based on the symptoms presented, the possible diagnosis for the 23-year-old obese female could be polycystic ovary syndrome (PCOS). PCOS is a common endocrine disorder that affects reproductive-aged women, and it is characterized by a range of symptoms including irregular menstrual cycles, hirsutism or excessive hair growth on the face, chest, and abdomen, and infertility.

Obesity and insulin resistance are often associated with PCOS, and these can lead to an increased risk of developing other health conditions like type 2 diabetes and cardiovascular disease. In addition, women with PCOS may experience acne, mood swings, and sleep apnea.

To diagnose PCOS, a thorough medical history, physical examination, and laboratory tests are necessary. Blood tests to measure hormone levels like testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) can help identify imbalances. Imaging tests such as ultrasounds may also be performed to evaluate the ovaries.

Treatment for PCOS depends on the individual's symptoms and goals, and it may include lifestyle changes like weight loss and exercise, medications to regulate menstrual cycles, and fertility treatments. Management of PCOS is important for overall health and quality of life.

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A patient receiving the drug simvastatin (Zocor) should be taught that this medication helps to prevent coronary heart disease by controlling lower-density lipoprotein (LDL). Simvastatin belongs to a class of drugs called statins, which work by inhibiting the production of cholesterol in the liver.

LDL is often referred to as "bad" cholesterol because it can build up in the walls of arteries, leading to blockages and an increased risk of heart disease. By reducing LDL levels, simvastatin can help prevent the development of coronary heart disease.

It's important for patients to understand that simvastatin is not effective in increasing LDL or triglycerides. In fact, it is specifically prescribed to lower LDL levels. Additionally, simvastatin does not increase very low-density lipoprotein (VLDL) levels, which are also associated with an increased risk of heart disease.

To maximize the benefits of simvastatin, patients should take it as prescribed by their healthcare provider and make lifestyle changes to support heart health, such as maintaining a healthy diet, getting regular exercise, and quitting smoking if applicable. It's also important for patients to monitor their cholesterol levels and report any concerns or side effects to their healthcare provider.

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A 65-year-old male presents with painless hematuria, has a history of heavy smoking, and works as a painter. The most likely diagnosis for this patient is bladder cancer.

1. Painless hematuria (blood in urine) is a common symptom of bladder cancer.
2. Heavy smoking is a significant risk factor for bladder cancer, as it contributes to the accumulation of harmful chemicals in the urine that may damage the bladder lining.
3. Working as a painter exposes the patient to various chemicals and solvents, which may further increase the risk of bladder cancer.
It's important to consult a healthcare professional for a thorough evaluation and accurate diagnosis. They may perform tests such as urine analysis, cystoscopy, and imaging studies to confirm the diagnosis and determine the appropriate treatment plan.

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After one month of a diagnosis of acute stress disorder, there are a few potential outcomes. If the individual has received appropriate treatment, such as therapy or medication, they may begin to see improvement in their symptoms.

This could include a reduction in anxiety, fear, and avoidance behaviors. In some cases, the individual may even recover fully from the disorder within this time frame.

However, if left untreated, acute stress disorder can develop into post-traumatic stress disorder (PTSD). PTSD is a chronic condition that can have a significant impact on an individual's daily life. Symptoms may persist for months or even years, and can include flashbacks, nightmares, hyperarousal, and emotional numbing.

It is important for individuals who have been diagnosed with acute stress disorder to seek appropriate treatment as soon as possible. This can help to prevent the condition from worsening, and increase the chances of a full recovery. Treatment options may include therapy, medication, and self-care techniques such as mindfulness and relaxation exercises. With proper care, individuals with acute stress disorder can go on to lead fulfilling and productive lives.

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The nurse would teach the patient that one of the best ways to prevent expansion of a small abdominal aneurysm, when surgery is not a good option, is to control hypertension with prescribed therapy.

Hypertension is a significant risk factor for aneurysm expansion, and by controlling blood pressure, the patient can help prevent further damage to the weakened vessel. The other options, including avoiding strenuous physical exertion, complying with prescribed anticoagulant therapy, and maintaining a low-calcium diet to prevent calcification of the vessel, may also be important components of the patient's care, but they are not the most effective means of preventing aneurysm expansion in this case.

b. control hypertension with prescribed therapy.

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