Managerial accounting Phase I, being the most urgent, was presented in great detail by Dr. Cleary and Dr. Hosier. The environmental concerns resulting from the implementation of Phase I included disturbing coastal wetlands, interference with turtle nesting activities, and water quality. In order to avoid degrading wildlife in the wetlands, no dredging or filling would take place in tidal wetlands. To avoid interference with the nesting activities of the endangered loggerhead turtle, no beach renourishment would take place between May 1st and November 15th. Water quality changes resulting from dredging would be addressed through bulldozing a dike. This dike would provide a channel for the water running over 4 the newly dredged material. Thus the channel will force "dredged" water to enter the ocean at one location instead of entering the ocean over a wide area. With these stipulations in place, the report concluded that no significant long term changes in wildlife feeding, nesting, or other habitat were expected to occur as a result of the dredging and renourishment activities of Phase I. A detailed analysis of Phases II and III plans were to be addressed upon completion of Phase I

121 Can you explain why a decrease in serum lipid levels follows an acute myocardial infarction (MI)? For how long does this decrease last and how is it known whether the patient has hyperlipidaemia in such a case?

122 In patients with myocardial infarction, why is aspirin to be taken chewed, and not by any other method?

123 Must beta-blockers prescribed for hypertension be stopped if the heart rate falls below 60 beats per minute?

124 How can aspirin resistance in patients with recurrent ischaemic stroke be assessed; is the clotting time a factor? Does the substitution of aspirin with clopidogrel solve this problem?

125 In a patient with heart failure and atrial fibrillation on warfarin who experiences frequent transient ischaemic attacks, will the patient benefit from having aspirin prescribed?

126 Is there a role for anticoagulation in inoperable carotid stenosis 70%?

127 What is the upper limit of serum creatinine reflecting renal damage from hypertension above which thiazides should not be prescribed?

128 a. How is blood pressure measured? b. Where should both cuff and stethoscope be placed in cases where the patient is suspected of having coarctation of the aorta?