Managerial accounting Douglas and Pamela Frank are a married couple. They both worked for a railroad company for 30 years. At age 57, Douglas and age 52, Pamela retired and moved to the small town of Ovilla, TX, which has a population of approximately 3,500 residents. When the Franks moved to the town, they decided to start a child care business in their home called Nanna's House. Nanna's House is licensed by the state. The state charges an annual fee of $225 to maintain the license. Insurance is required at a cost of $3,840 annually. The facility is licensed to care for a maximum of six children. The Franks charge a fee of $800 per month for each child. The monthly fee is based on a full day of care, from 8:00 a.m. to 4:00 p.m. If additional time is required beyond 4:00 p.m., parents must pay an additional charge of $15 per hour for each child. The couple provides two meals and a snack for the children. The cost of the meals and snack is $3.20 per child per day. There are six children currently enrolled.

41 What is the difference between transudate and exudate?

42 I wish to ask about Meigs' syndrome. I know that it is an association of pleural effusion, ascites and benign ovarian tumours or fibromas. Is the effusion transudate or exudate?

43 I have read that patients with cystic fibrosis should not meet each other socially. Why is this?

44 I have a young patient with bilateral hilar lymphadenopathy but no other manifestations of sarcoidosis. How can I make a diagnosis?

45 We have read in your book that continuous oxygen therapy at home reduces mortality in chronic obstructive pulmonary disease (COPD). I am concerned that my patient might develop acute respiratory failure.

46 I have a patient with asthma who is on long-term inhaled corticosteroids. She is very concerned about long-term steroid therapy. Could I replace the steroids with a long-acting beta2 agonist?

47 What is the role of leukotriene-modifying agents in asthma?

48 Is it true that the Mantoux test is no longer used?

49 Is there a screening test that is useful for the diagnosis of lung cancer?

50 For how long should treatment be continued for cervical lymphadenopathy and abdominal tuberculosis? What role, if any, do steroids play in the treatment of these conditions?