Improving one’s financial situation

Question 1
Dominic is in his 40s and lives in a two bedroom flat in Blackburn. He works at the local council. When he bought the flat in April 2019 the mortgage broker talked him through repayment and interest-only mortgages. He decided to use his savings as a deposit and chose a repayment mortgage, which by April 2021 was standing at £83,000. The market value of his flat had fallen by 2% over this time period on the original purchasing price of £95,000.

In April 2021 Dominic earns a net monthly income of £1,600 and his expenditure has averaged £1,500 a month over the last two years. In April 2021 a personal loan to conduct initial refurbishment on the flat is down from £1,500 to £800, but his current account balance has dropped to zero and he has an overdraft on his current account of £1,300. Meanwhile his savings account holds just £50. He now owes £1,800 on a credit card. His cash holdings have dropped to £30. The rest of his balance sheet has not changed since April 2019.

Dominic is now reviewing his finances.

Table 1 shows his balance sheet and financial ratios in April 2019.

Table 1 Dominic’s household balance sheet – April 2019
April 2019
Assets (Total) 96,400
Liquid assets 1,400
Cash 100
Current account 1,000
Instant access savings account(s) 300
Other liquid assets 0
Other assets 95,000
Home 95,000

Liabilities (Total) 86,750
Short-term liabilities 250
Overdraft 0
Credit card 250
Other short-term liabilities 0
Other liabilities 86,500
Personal loans 1,500
Mortgage 85,000

Ratios
Net worth / wealth 9,650
Current asset ratio 5.60
Leverage ratio 89.99
1.1 Using the information provided in Table 1, complete Dominic’s balance sheet for April 2021. (4 marks)

1.2 Explain the factors Dominic might have considered in choosing a repayment mortgage over an interest-only mortgage in 2019. (3 marks)

1.3 Using the financial ratios and other relevant information, compare Dominic’s financial situation in April 2019 and April 2021. (4 marks)

1.4 Briefly explain two other possible actions Dominic could take to improve his financial situation. (4 marks)

Question 2
Anita is living at home with her mother. But Anita has now found a job and is planning to move into her own flat. She wants to buy a flat four years from now, knowing that she will need a deposit of at least £9,000 in order to do so. Anita has £1,500 in a savings account.

2.1 If Anita uses all of her savings and saves £110 per month, what rate of return will Anita need to reach her target of £9,000 after four years? (3 marks)

2.2 Anita has seen that shares (equities) in a particular internet start-up company have given an 18 per cent return over the past two years. She is considering using all of her savings into buying this company’s shares. Give two reasons why putting all her savings into this one company’s shares might not generate anything close to the 18% return they’ve achieved over the past two years.(4 marks)

2.3 Briefly explain another way that Anita could save the amount of her deposit if she is risk-averse or doesn’t have much risk capacity. (4 marks)

2.4 How will Anita’s efforts to save for a deposit be affected if there is a fall in interest rates which causes a rise in house prices? (4 marks)

Question 3
Table 2 shows some data related to crime in different areas of England. When answering the questions that follow, assume that the rates of offences in each area in the year ending March 2020 are valid indicators of the current annual risks of these offences.

Table 2 Rates of police recorded crime for burglary and violence against the person for selected areas of England and Wales, year ending March 2020
Region Burglary Violence against the person
Cheshire 4.3 per thousand of population 36.2 per thousand of population
Durham 0.65% 4.16%
Hampshire 1 in 179 of population 1 in 33 of population
South Wales 0.0046 0.0293
Source: adapted from Office for National Statistics (2020)
3.1 Transform the figures in Table 2 into one comparable measure of risk by expressing each probability as a decimal, rounded to four decimal places. (3 marks)

3.2 If crimes categorised as burglary and violence against the person are mutually exclusive, what is the chance (expressed in percentage) of being victim of either crime next year in Cheshire? (3 marks)

3.3 Give two reasons why a particular household in South Wales may in fact be at a lower risk of burglary than the probability shown in the table. (4 marks)

3.4 Briefly explain in your own words the meaning of moral hazard, and identify two ways in which an insurer can design a policy covering burglary to reduce the risk of moral hazard. (5 marks)

(Total marks available for Question 3: 15 marks)

Sample Solution

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Analyzing ethical theories.

Write an essay in which you discuss the ethics of at least three substantive ethical questions from the perspectives of various ethical theories. Be sure that you discuss at least one ethical theory from the “isolated-individual framework” at least one ethical theory from the “social-individual framework”. Compare and contrast the ethical theories for each substantive question and explain what is useful and what is less useful and why for each of the ethical theories

Sample Solution

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The use of support decision tools

Assess the use of various support decision tools and explain why outliers are sometimes called influential observations. Discuss what could happen to the slope of a regression of Y versus a single X when an outlier is included versus when it is not included. Will this necessarily happen when a point is an outlier? You are required to give at least two examples in your response.

Sample Solution

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Ankle swelling and fatigue in a 60yo.

A 60yo male teacher from the local high school presents to you with complaints of swelling in the feet/ankles by the end of the day, frequent urination at night and increasing fatigue/shortness of breath upon light exercise like taking the steps to a different floor. He does not sleep well at night and feels that breathing while in bed seems to be a bit harder than when sitting or standing. Use of added pillows seems to help. He has a history of heart disease in the family and he has previously been diagnosed with mild atrial fibrillation, which is only being monitored.
Upon examination, you find BP 170/110, pulse rate 70-75, normal temperature and mild pitting edema at the ankles bilaterally. Chest exam reveals light crackles (rales) upon respiration and no abnormal heart sounds. There is no dullness upon listening to the heart. Rectal exam reveals normal sized prostate and no bleeding/blood in the stool. Abdominal exam reveals only mildly enlarged liver, normal spleen and no areas of tenderness. The jugular vein appears distended when in a reclined position to 30 degrees, but not when upright. Central venous pressure measured by JVD is 9cm H2O.
1) Considering the Starling forces (not cardiac Frank-Starling law) affecting fluid movement in a capillary, describe two ways to promote an increase in net fluid movement into the interstitium (i.e. increase/decrease in a given force that is part of calculating net fluid movement).
2) Given the Starling forces that can promote movement describe above, list three organs that need to be evaluated because of their ability to promote such edema and why (i.e. how is the Starling forces altered by dysregulation of that organ).
3) Describe why he is having shortness of breath using Starling forces terminology.
4) Describe how interstitial fluid compares to plasma. Is interstitial fluid intracellular or extracellular?
Bloodwork reveals a normal ESR (a non-specific measure of inflammation), normal hemoglobin, hematocrit, white blood cell count/distribution, albumin and blood glucose levels. Chest X ray show some shadowing of lung tissues more prominently in the base, confirming the presence of edema. The ventricles of the heart are enlarged. No other abnormality noted. A 24 hour urine collection revealed no abnormalities.
5) Given the above information, you diagnose him with congestive heart failure. You consider various medications for his treatment, which aim to improve his cardiac function by slowing the rate and increasing contractility. Digoxin is one such drug (though it does appear to have a 20% higher all-cause mortality rate in atrial fibrillation patients, so it is not given without careful consideration). How does digoxin work in terms of altering movement of Na+, K+ and Ca++ and how does that relate to the improvement in cardiac function (increased contractility and slower heart rate)?
A 15yo girl presents with a sore throat and headache x 5 days. She has been treating it with Advil. Examination reveals slightly elevated heart rate, oral temperature of 99.7 degrees, and sore neck on palpation with enlarged lymph nodes. Rapid Strep test is positive.
6) In general, what is the most common cause of sore throat in children 15yo and younger?

7) Why is it important to treat strep throat within the first nine days or so? What is the mechanism for damage beyond the throat area (rare, serious complications) if left untreated?

8) During alkalosis, as can occur from vomiting and or diarrhea, causes what kind of shift in K+ concentrations occur (regarding fluid compartments, i.e. extracellular (plasma and interstitial) vs intracellular) and thus may show up in blood chemistry readings?

Sample Solution

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