What are you actually hearing when you listen to the heartbeat?

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

Ori works at a flower shop in her town. when customers come in to purchase flowers as gifts, lori takes the time to really listen to their needs so she can recommend the perfect bouquet to them. as a result, lori's customers leave happy and return to this shop whenever they need to give a gift. lori's co-workers like her because she gets along with everyone and compliments them on the bouquets they have put together. what workplace habit does lori demonstrate?

Mary has spontaneously decided to prepare a meal for friends. she is beginning to prepare fin fish and realizes she wants to also prepare a hearty dish ready to serve at the same time. what should she prepare?