Managerial accounting Over recent years, the market has grown steadily, but different forecasts by professionals are more pessimistic (see Figure: Potential market developments for windows in France established by TBC). Indeed, production had increased to meet the increase in demand (see graph: market developments in France between 2004 and 2008). According to a survey by TBC (2009), the new construction market appears to be the most adversely affected (57% of those surveyed predicted a decline in the installation of windows) while fewer installations of replacement windows was predicted by 29% of professionals. It appears that market participants will have to respond to these new market conditions, either by offering lower prices or better services, or by improving production levels. A second cause for concern in the joinery market is rising energy prices. The price of energy has been increasing for several years.

61 Can carvedilol be used in an elderly patient who developed left ventricular failure after a very recent myocardial infarction, or should it wait until the condition becomes stable?

62 I have seen some patients with chronic rheumatic heart disease with no obvious evidence of rheumatic fever (i.e. they could not recall if there was an episode of severe infection with subsequent fever and joint pain). So, actually, how is chronic rheumatic heart disease diagnosed?

63 If a young patient presents with hemiparesis and rheumatic atrial fibrillation and is already on oral anticoagulant, with an international normalized ratio (INR)

3 and a normal computed tomography (CT) scan done 2 hours after onset, should he receive heparin for prophylaxis against further embolism? Should aspirin be combined with oral anticoagulant later, or should target INR be increased? 64 When treating mitral stenosis using a balloon valvotomy, how come no thrombus develops at the site of the atrial septum or at the separated commissure of the valve leaflets?

65 Why does a mitral stenosis produce a loud S1? Cardiovascular

.66 Why is the mitral valve more affected than any other valve in the heart in most valvular diseases?

67 What is William's syndrome (supravalvular obstruction)? Why does hypercalcaemia occur with this syndrome?

68 Kindly tell me all the causes postulated for the collapsing pulse seen in aortic regurgitation.

69 Does pulmonary stenosis cause pulmonary hypertension?

70 Under what conditions would a pulsatile liver be found and what is its clinical significance?