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?

  • ΕΜΒΟΛΗ ΙΣΧΑΙΜΙΑ ΚΑΤΩ ΑΚΡΟΥ [undo]
  • Management of overt diabetes (DM) and gestational diabetes (GDM) [undo]
  • El padre le dice a su hijo. [undo]
  • new node [undo]
  • Χορηγείτε ενδοφλέβια αντιβιοτικά [undo]
  • Activated charcoal [undo]
  • Πέψη DNA με Περιοριστικές Ενδονουκλεάσες: Επιλογή του Κατάλληλου Ενζύμου [undo]
  • Put on gloves [undo]
  • Definición 2 [undo]
  • N acetyl cysteine [undo]
  • Option 1 [undo]
  • A sphygmomanometer,a stehthoscope, a cleaning gel and tissues [undo]
  • Mental Status [undo]
  • Surfactant-Echocardiogram [undo]
  • Etanol [undo]
  • Își ajută mama. [undo]
  • Genotip [undo]
  • Μείωση [undo]
  • Έναρξη [undo]
  • Gjør og sier ingenting. Det er ikke mitt problem måten at hun oppfører seg [undo]
  • CT κοιλιάς [undo]
  • Diffusion [undo]
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme [undo]
  • Start with instructions about vitamin and mineral supplements [undo]
  • Jeg henviser foreldrene til styren. Det er faktisk styren sin jobb å ha oversikt over personalets sitt henvender til barn [undo]
  • Continue taking metformin as prescribed [undo]
  • Sudan III Test [undo]
  • Час від часу приймати ліки ситуативно, коли у мене є скарги. [undo]
  • 50nm to 1mm [undo]
  • Прийняти 1 пачку та припинити лікування, бо у мене немає фінансової можливості покупати ці ліки. [undo]
  • Case [undo]
  • Lysis buffers [undo]
  • Opțiunea 1: Pentru siguranța noastră și a colegilor noștri în timpul și după practica de laborator [undo]
  • Ensure you have one person with you [undo]
  • Tampones de lisis [undo]
  • Proteinasa K [undo]
  • Jeg forklarer foreldrene at jeg tar opp saken med assistenten så fort så mulig [undo]
  • Приймати ліки під наглядом лікаря. [undo]
  • Motor Exam [undo]
  • Option 1: A and C are correct [undo]
  • Alelă [undo]
  • A sphygmomanometer and a stethoscope [undo]
  • Síntesis de proteínas [undo]
  • Alelos [undo]
  • Πιπέτες [undo]
  • Opțiunea 2: Pentru a identifica și manipula corespunzător materialele periculoase din laborator [undo]
  • Basic Enzyme Definitions [undo]
  • El îi spune tatălui său să sune o ambulanță. [undo]
  • Celulele HeLa sunt rezistente în mod natural la toate medicamentele [undo]
  • Ώσμωση [undo]
  • Root Node [undo]
  • Exlpain the procedure and ask for consensus [undo]
  • Rasgos [undo]
  • Root Node [undo]
  • Root Node [undo]
  • Aislamiento de ADN: Pasos experimentales [undo]
  • Digestia ADN-ului cu endonuclează de restricție: Selectarea enzimei potrivite [undo]
  • Emulsion Test [undo]
  • Adverse effect to budesonide [undo]
  • Pipetas [undo]
  • Vital Sign [undo]
  • Steroids -Frusemide [undo]
  • [undo]
  • First node [undo]
  • OK, let’s move to the next excercise [undo]
  • Calcium: Increased; Potassium: Decreased; Sodium: Decreased [undo]
  • Τεστ Fehling’s [undo]
  • Izolarea ADN-ului: Reactivi de laborator [undo]
  • Definition 2 [undo]
  • Root Node [undo]
  • Start with personal history [undo]
  • ΒΙΟΣΤΑΤΙΣΤΙΚΗ: ΕΙΣΑΓΩΓΗ ΣΤΙΣ ΠΙΘΑΝΟΤΗΤΕΣ [undo]
  • Presentation [undo]

Map: Michael Green_GEMD_2 (1116)
Node: 21110
Score:

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