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While your absolute maximal oxygen uptake remains unchanged, your relative maximal oxygen uptake can increase without engaging in an aerobic exercise program. how can you accomplish this, and would you benefit from doing so

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy

At 2: 00 am, a 17-year-old boy, accompanied by his 19-year-old girlfriend, had driven to the bar to give his father (who had been drinking large amounts of alcohol) a ride home. on the way back, they were involved in a motor vehicle collision. the boy has a large laceration with profuse bleeding on his forehead. his girlfriend is unconscious in the front passenger floor. the father is standing outside the vehicle, appearing heavily intoxicated, and is refusing care. what is the best way to gain consent to begin care when his father has an altered mental status or is unconscious? a. phone his mother for consent. b. call his grandparents for consent. c. it is a true emergency, so consent is implied. d. you are covered under the good samaritan laws.