You are the school nurse decide which students are most at risk for health problems. look at these four cases. which person seems most likely to abuse drugs because of peer pressure? everyone in margene's family smokes. she has decided not to start. her best friends are also committed to abstaining from tobacco use. jacob plays basketball and has to be the best player on the team. he practices all the time and eats a diet high in protein, carbohydrates, and vitamins. rhonda lives in a housing project. her parents work hard, and the whole family checks on her social life regularly to make sure she studies and stays active. ramon is outgoing and likes to give parties at his house. he's easygoing, and he likes the company because his parents are away a lot.

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