What are some of the factors that have contributed to the rapid rise in health care cost? a. hospital care c. prescription drugs b. advances in medical technology d. all of the above

A32-year-old woman presents for a routine gynecological exam. she has been married for 5 years and plans to start a family with her husband in the near future. her first menstrual period was at the age of 11. she is in a 28/4 cycle with no irregularities or discomfort. at age 18, she had an induced abortion and has used oral contraceptives since then. in the recto-vaginal exam, you palpate a mass on the left side. an ultrasound confirms a complex cystic tumor 6cm in diameter on the left ovary. there is no free fluid in the pelvis. there is no family history of any malignant tumors. what is your therapeutic approach?

Me with this i need to get the answer quickly.

A74-year-old woman, who has been followed for the past 25 years for chronic obstructive pulmonary disease comes to the ed complaining of 48 hours of temperature to 38.6 c and worsening shortness of breath. she has a chronic productive cough, which has become more copious. on physical examination, she has rhonchi and increased fremitus in the posterior mid-lung field. a gram's stain reveals many epithelial cells and multiple gram-positive and gram-negative organisms; no neutrophils are seen. which of the following is the most likely organism causing the symptoms? - escherichia coli- haemophilus influenzae- klebsiella pneumoniae- mycobacterium tuberculosis- mycoplasma pneumoniae