Presentation

You are a final year medical student on a General Practice attachment. Dr. McPhee is the supervising doctor.

Mr. Green, a 56-year-old man, attends the clinic that morning. He complains of nocturia and increased thirst. You take a look at the medical notes; Mr. Green has a history of hypertension, well-controlled on ramipril. An echocardiogram performed last year showed a normal left ventricular ejection fraction of 60% (normal >55%), with no structural heart disease. Physical examination is unremarkable. His BMI is 27 kg/m2. You decide to perform a urinalysis, which shows 1+ glucose, negative for blood, ketones, and proteins; no inflammatory cells, casts or crystals on urine microscopy.

You decide to check Mr. Green's fasting blood glucose level and HbA1c before deciding on the best course of action. Laboratory results show a fasting blood glucose level of 152 mg/dL and 148 mg/dL (NR <126 mg/dL). His HbA1c is 7.8%. eGFR is 78 mL/min/1.73 m2; AST/ALT are within normal limits.

Which drug should be prescribed for Mr. Green?

  • Ethanol [undo]
  • Ζητάτε εργαστηριακές εξετάσεις, ακτινογραφίες και εξηγείτε περισσότερα για τη διαχείριση του πόνου. [undo]
  • ΚΥΤΤΑΡΙΚΗ ΔΙΑΙΡΕΣΗ [undo]
  • new node [undo]
  • Στεροειδή - Φουροσεμίδη [undo]
  • Surfactant -Frusemide [undo]
  • Καλείτε την ειδική ιατρό [undo]
  • new node [undo]
  • Introduction to the profession and to other students [undo]
  • Steroids -Antibiotics [undo]
  • patient at risk! [undo]
  • Opțiunea 1 [undo]
  • Pedro y su padre juegan juntos. [undo]
  • [undo]
  • Grapefruit-thiazide diuretic interaction [undo]
  • Node 6: Proceed with a demonstration [undo]
  • X ray [undo]
  • Opțiunea 2 [undo]
  • Επιλογή 2 [undo]
  • Antibiotics-Echocardiogram [undo]
  • Observation [undo]
  • Grapefruit-thiazide interaction [undo]
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion). [undo]
  • Antibiotics-Antibiotics [undo]
  • Call for someone to help [undo]
  • METABOLISM OF THE CELL ENZYME [undo]
  • Commence formula feeding [undo]
  • Past Medical History (PMH) [undo]
  • Adverse effect to formoterol [undo]
  • If you use antacids, it's better to use calcium carbonate [undo]
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever). [undo]
  • Glipizide [undo]
  • Τοπική αναισθησία [undo]
  • History of Ischemic Stroke [undo]
  • Node 5: Reassure her technology is easy to use [undo]
  • Ask the victim how they are feeling [undo]
  • Admission Handover [undo]
  • Ramipril [undo]
  • If you use antacids, it is better to combine them with alginates [undo]
  • Allow the family member to stay on screen without clarifying their role [undo]
  • HeLa cells are naturally resistant to all drugs. [undo]
  • Οξεία νεφρική και γαστρεντερική βλάβη λόγω υπερβολικής χρήσης ΜΣΑΦ ή/και ακεταμινοφαίνης [undo]
  • Jonah vai pedir dinheiro à mãe. [undo]
  • Surfactant -Antibiotics [undo]
  • Αρχίζει Γνωσιακή - Συμπεριφορική Θεραπεία [undo]
  • CULTURI DE CELULE [undo]
  • Presentation [undo]
  • A microscope that uses a fluorescence source to magnify objects [undo]
  • UTILIZANDO MATERIAL BÁSICO DE LABORATORIO [undo]
  • Root Node [undo]
  • how do you feel trying to lift your left arm, is it difficult? [undo]
  • GENÉTICA MENDELIANA Y PROBLEMAS GENÉTICOS [undo]
  • Laboratorio de alimentos [undo]
  • Vão falar sobre ir de férias. [undo]
  • Ο σύλλογος της περιοχής σου θέλει να βοηθήσει τους γιατρούς που φροντίζουν τους ασθενείς με κορονοϊό. [undo]
  • Furosemide (loop diuretic) [undo]
  • Επιλογή 3 [undo]
  • Switch to audio + chat mode and promise a PDF summary afterward [undo]
  • Steroids-Echocardiogram [undo]
  • Insist on continuing with poor video quality [undo]
  • Τεστ ιωδίου [undo]
  • Pedro y su padre dialogan y pasan tiempo juntos. [undo]
  • new node [undo]
  • Next visit [undo]
  • Osmoză [undo]
  • steroids – diuretics – bili and discuss [undo]
  • Pedro y su padre discuten. [undo]
  • Option 3 [undo]
  • Definiciones básicas sobre enzimas [undo]
  • steroids – diuretics – bili and discharge [undo]
  • Further developments [undo]
  • Folosește doar probabilitatea mendeliană pentru a deduce o anomalie cromozomială [undo]
  • Game Over [undo]
  • Στεροειδή - Ειδικός γιατρός [undo]
  • Un microscopio que emplea una fuente de luz para ampliar los objetos [undo]
  • Game Over [undo]
  • Verapamil (Calcium Channel Blocker) [undo]
  • Option 2 [undo]
  • Root Node [undo]
  • Tell the patient to change devices without giving proper guidance. [undo]
  • Go to Espresso House instead. [undo]
  • Επιπρόσθετο φίλτρο Αλουμινίου (Al) [undo]
  • new node [undo]
  • Adverse effect to paracetamol [undo]
  • Επίσκεψη επανελέγχου [undo]
  • Presentation [undo]

Map: Michael Green_GEMD_1 (1115)
Node: 21086
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway