Further Developments

Transthoracic echocardiography shows a left ventricular ejection fraction of 35%. Dr. McPhee reviews the results with Mr. Green and explains that these findings are consistent with heart failure. Mr. Green’s HbA1c is 8.2%. He arranges follow‑up with cardiology for guideline‑directed medical therapy and with endocrinology to coordinate diabetes management. Dr McPhee reinforces daily medication adherence and regular follow-ups.

At the cardiology visit, the cardiologist explains that, over the next few weeks, several medications will be started and titrated to treat Mr Green’s heart failure. He adds that one of the new drugs will also be beneficial for Mr. Green’s type 2 diabetes and has been shown to have positive effects on cardiovascular outcomes.

Which medication is the most appropriate choice that benefits both heart failure and type 2 diabetes for Mr. Green?

  • Semaglutide
End Session and View Feedback
  • The onset [undo]
  • Κλείνει ραντεβού με τον γενικό γιατρό [undo]
  • Σωστά! [undo]
  • MSA [undo]
  • Terbutaline (SABA) [undo]
  • Opción 1: A y C son correctas [undo]
  • CT Scan [undo]
  • Mechanism of action of GTN [undo]
  • Privacy risk [undo]
  • Καλείτε την ειδική ιατρό [undo]
  • Pertinent negatives [undo]
  • ΕΞΙΤΗΡΙΟ ΜΕ ΑΝΤΙΕΠΙΛΗΤΙΚΗ ΚΑΙ ΑΠΟΙΔΗΜΑΤΙΚΗ ΑΓΩΓΗ [undo]
  • Τρόπος ζωής του ασθενούς [undo]
  • Συνεχίζει να παίρνει τα αγχολυτικά φάρμακα [undo]
  • Afterload [undo]
  • Treatment [undo]
  • Waiting the resource [undo]
  • If you use antacids, it's better to use calcium carbonate [undo]
  • Warfarin may be commenced as an alternative to apixaban [undo]
  • Ramipril (ACE inhibitor) [undo]
  • Επίσκεψη σε ρευματολόγο [undo]
  • Omalizumab (IgE antibody)/Salbutamol (SABA) [undo]
  • If you use antacids, it is better to combine them with alginates [undo]
  • Κάνει μόνο ψυχοθεραπεία [undo]
  • Jonah vai pedir dinheiro à mãe. [undo]
  • Bivalirudin (direct thrombin inhibitor) [undo]
  • Introduction to the profession and to other students [undo]
  • how do you feel trying to lift your left arm, is it difficult? [undo]
  • new node [undo]
  • Vão falar sobre ir de férias. [undo]
  • Mechanism of action of GTN [undo]
  • Ο σύλλογος της περιοχής σου θέλει να βοηθήσει τους γιατρούς που φροντίζουν τους ασθενείς με κορονοϊό. [undo]
  • History of Present Illness [undo]
  • Give Nurse Instruction [undo]
  • High Molecular Weight Heparin [undo]
  • patient at risk! [undo]
  • The patient will be dissatisfied, and might not come to the next appointment and you will lose the follow up. You will also not have enough data about patient’s progress. [undo]
  • Grapefruit-thiazide diuretic interaction [undo]
  • Node 6: Proceed with a demonstration [undo]
  • Opțiunea 2 [undo]
  • X ray [undo]
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion). [undo]
  • Επιλογή 2 [undo]
  • Grapefruit-thiazide interaction [undo]
  • Observation [undo]
  • Call for someone to help [undo]
  • Past Medical History (PMH) [undo]
  • Adverse effect to formoterol [undo]
  • Παίρνετε τα αποτελέσματα των εργαστηριακών εξετάσεων και των ακτινογραφιών [undo]
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever). [undo]
  • Glipizide [undo]
  • History of Ischemic Stroke [undo]
  • Ask the victim how they are feeling [undo]
  • Node 5: Reassure her technology is easy to use [undo]
  • Allow the family member to stay on screen without clarifying their role [undo]
  • Heart rate [undo]
  • Ramipril [undo]
  • Allow the woman with the umbrella to decide how she can best help [undo]
  • HeLa cells are naturally resistant to all drugs. [undo]
  • Αρχίζει Γνωσιακή - Συμπεριφορική Θεραπεία [undo]
  • Αρχίζει να γυμνάζεται σε γυμναστήριο [undo]
  • Οξεία νεφρική και γαστρεντερική βλάβη λόγω υπερβολικής χρήσης ΜΣΑΦ ή/και ακεταμινοφαίνης [undo]
  • Τεστ ιωδίου [undo]
  • Laboratorio de alimentos [undo]
  • A microscope that uses a fluorescence source to magnify objects [undo]
  • 5nm to 100μm [undo]
  • Further developments [undo]
  • Φαρμακευτική θεραπεία-βήμα 1 - περιλαμβάνει υδροκορτιζόνη; [undo]
  • Ακριβώς! [undo]
  • Επιλογή 3 [undo]
  • peritonitis [undo]
  • Ώριμα φύλλα βελανιδιάς [undo]
  • Montelukast [undo]
  • Switch to audio + chat mode and promise a PDF summary afterward [undo]
  • Insist on continuing with poor video quality [undo]
  • Άλλοι τρόποι διαχείρισης του πόνου [undo]
  • Resultados del cariotipo [undo]
  • Fluidity [undo]
  • Fluticasone (glucocorticoid) [undo]
  • Osmoză [undo]
  • Salmeterol (LABA) [undo]
  • Option 3 [undo]
  • Further developments [undo]
  • Un microscopio que emplea una fuente de luz para ampliar los objetos [undo]
  • Μη φαρμακευτικές θεραπείες [undo]
  • Explore training programs [undo]
  • Chief complaint [undo]
  • Verapamil (Calcium Channel Blocker) [undo]
  • Option 2 [undo]
  • Tell the patient to change devices without giving proper guidance. [undo]
  • Sensation test [undo]
  • Go to Espresso House instead. [undo]
  • new node [undo]
  • Επίσκεψη επανελέγχου [undo]
  • Selective permeability [undo]
  • How do scientists measure brain changes? [undo]
  • Adverse effect to paracetamol [undo]
  • Παραλείπει την επίσκεψη επανελέγχου στο γιατρό [undo]
  • Reschedule with alternative (e.g., WhatsApp call) if needed [undo]
  • Embedded proteins [undo]
  • Difuzia [undo]
  • Un microscopio que emplea una fuente de fluorescencia para ampliar objetos [undo]
  • Mudando-se para uma casa nova. [undo]
  • Γενικές συμβουλές για την οστεοαρθρίτιδα γόνατος [undo]
  • Дотриматися поради лікарів; мій стан може виявитися катастрофічним, якщо його не лікувати. [undo]
  • Option 1 [undo]
  • Order a cappuccino and a kanelbulle [undo]
  • Εθανόλη [undo]
  • Η ασθενής δεν έρχεται στην επίσκεψη παρακολούθησης [undo]
  • Προσταγλανδίνη [undo]
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε [undo]
  • Ionuț are 30 de ani și locuiește cu mama sa la Craiova. [undo]
  • Hyoscine [undo]
  • Mechanism of action of PPIs [undo]
  • Social History [undo]
  • Opción 2: Sólo B es correcta [undo]
  • Insulin detemir [undo]
  • He will argue with Callie. [undo]
  • Залиште лікарню та обсудіть це питання ще з кимось. [undo]
  • Proteinase K [undo]
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever). [undo]
  • Diploid și haploid [undo]
  • Επιλογή 1 [undo]
  • HeLa cells are easily cultured and highly proliferative. [undo]
  • Preparation of liquid cultures [undo]
  • Decision Point [undo]
  • Sitagliptin [undo]
  • Pentru a ne proteja hainele de dedesubt. Albul este o culoare universală pe care o puteți găsi în orice țară [undo]
  • Heart rate [undo]
  • MSA [undo]
  • Comienza seleccionando la pipeta adecuada para tu volumen [undo]
  • To protect our clothes underneath. White is a universal colour which you can find in any country [undo]
  • Πολυμεράση Taq [undo]
  • Pentru a ne proteja hainele de dedesubt. Albul se potrivește cu orice nuanță de culoare a pielii [undo]
  • Dominant și recesiv [undo]
  • Dapagliflozin [undo]
  • Further Developments [undo]

Map: Michael Green_GEMD_2 (1116)
Node: 21133
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Ignore the wound complaint and focus solely on blood glucose.
  • The onset
  • Κλείνει ραντεβού με τον γενικό γιατρό
  • Σωστά!
  • MSA
  • Terbutaline (SABA)
  • Opción 1: A y C son correctas
  • CT Scan
  • Mechanism of action of GTN
  • Privacy risk
  • Καλείτε την ειδική ιατρό
  • Pertinent negatives
  • ΕΞΙΤΗΡΙΟ ΜΕ ΑΝΤΙΕΠΙΛΗΤΙΚΗ ΚΑΙ ΑΠΟΙΔΗΜΑΤΙΚΗ ΑΓΩΓΗ
  • Τρόπος ζωής του ασθενούς
  • Συνεχίζει να παίρνει τα αγχολυτικά φάρμακα
  • Afterload
  • Treatment
  • Waiting the resource
  • If you use antacids, it's better to use calcium carbonate
  • Warfarin may be commenced as an alternative to apixaban
  • Ramipril (ACE inhibitor)
  • Επίσκεψη σε ρευματολόγο
  • Omalizumab (IgE antibody)/Salbutamol (SABA)
  • If you use antacids, it is better to combine them with alginates
  • Κάνει μόνο ψυχοθεραπεία
  • Jonah vai pedir dinheiro à mãe.
  • Bivalirudin (direct thrombin inhibitor)
  • Introduction to the profession and to other students
  • how do you feel trying to lift your left arm, is it difficult?
  • new node
  • Vão falar sobre ir de férias.
  • Mechanism of action of GTN
  • Ο σύλλογος της περιοχής σου θέλει να βοηθήσει τους γιατρούς που φροντίζουν τους ασθενείς με κορονοϊό.
  • History of Present Illness
  • Give Nurse Instruction
  • High Molecular Weight Heparin
  • patient at risk!
  • The patient will be dissatisfied, and might not come to the next appointment and you will lose the follow up. You will also not have enough data about patient’s progress.
  • Grapefruit-thiazide diuretic interaction
  • Node 6: Proceed with a demonstration
  • Opțiunea 2
  • X ray
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • Επιλογή 2
  • Grapefruit-thiazide interaction
  • Observation
  • Call for someone to help
  • Past Medical History (PMH)
  • Adverse effect to formoterol
  • Παίρνετε τα αποτελέσματα των εργαστηριακών εξετάσεων και των ακτινογραφιών
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever).
  • Glipizide
  • History of Ischemic Stroke
  • Ask the victim how they are feeling
  • Node 5: Reassure her technology is easy to use
  • Allow the family member to stay on screen without clarifying their role
  • Heart rate
  • Ramipril
  • Allow the woman with the umbrella to decide how she can best help
  • HeLa cells are naturally resistant to all drugs.
  • Αρχίζει Γνωσιακή - Συμπεριφορική Θεραπεία
  • Αρχίζει να γυμνάζεται σε γυμναστήριο
  • Οξεία νεφρική και γαστρεντερική βλάβη λόγω υπερβολικής χρήσης ΜΣΑΦ ή/και ακεταμινοφαίνης
  • Τεστ ιωδίου
  • Laboratorio de alimentos
  • A microscope that uses a fluorescence source to magnify objects
  • 5nm to 100μm
  • Further developments
  • Φαρμακευτική θεραπεία-βήμα 1 - περιλαμβάνει υδροκορτιζόνη;
  • Ακριβώς!
  • Επιλογή 3
  • peritonitis
  • Ώριμα φύλλα βελανιδιάς
  • Montelukast
  • Switch to audio + chat mode and promise a PDF summary afterward
  • Insist on continuing with poor video quality
  • Άλλοι τρόποι διαχείρισης του πόνου
  • Resultados del cariotipo
  • Fluidity
  • Fluticasone (glucocorticoid)
  • Osmoză
  • Salmeterol (LABA)
  • Option 3
  • Further developments
  • Un microscopio que emplea una fuente de luz para ampliar los objetos
  • Μη φαρμακευτικές θεραπείες
  • Explore training programs
  • Chief complaint
  • Verapamil (Calcium Channel Blocker)
  • Option 2
  • Tell the patient to change devices without giving proper guidance.
  • Sensation test
  • Go to Espresso House instead.
  • new node
  • Επίσκεψη επανελέγχου
  • Selective permeability
  • How do scientists measure brain changes?
  • Adverse effect to paracetamol
  • Παραλείπει την επίσκεψη επανελέγχου στο γιατρό
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Embedded proteins
  • Difuzia
  • Un microscopio que emplea una fuente de fluorescencia para ampliar objetos
  • Mudando-se para uma casa nova.
  • Γενικές συμβουλές για την οστεοαρθρίτιδα γόνατος
  • Дотриматися поради лікарів; мій стан може виявитися катастрофічним, якщо його не лікувати.
  • Option 1
  • Order a cappuccino and a kanelbulle
  • Εθανόλη
  • Η ασθενής δεν έρχεται στην επίσκεψη παρακολούθησης
  • Προσταγλανδίνη
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε
  • Ionuț are 30 de ani și locuiește cu mama sa la Craiova.
  • Hyoscine
  • Mechanism of action of PPIs
  • Social History
  • Opción 2: Sólo B es correcta
  • Insulin detemir
  • He will argue with Callie.
  • Залиште лікарню та обсудіть це питання ще з кимось.
  • Proteinase K
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever).
  • Diploid și haploid
  • Επιλογή 1
  • HeLa cells are easily cultured and highly proliferative.
  • Preparation of liquid cultures
  • Decision Point
  • Sitagliptin
  • Pentru a ne proteja hainele de dedesubt. Albul este o culoare universală pe care o puteți găsi în orice țară
  • Heart rate
  • MSA
  • Comienza seleccionando la pipeta adecuada para tu volumen
  • To protect our clothes underneath. White is a universal colour which you can find in any country
  • Πολυμεράση Taq
  • Pentru a ne proteja hainele de dedesubt. Albul se potrivește cu orice nuanță de culoare a pielii
  • Dominant și recesiv
  • Dapagliflozin
  • Further Developments

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