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?

  • Option 1 [undo]
  • Provide tele-wound care education [undo]
  • Presentation [undo]
  • Ανεπιθύμητες ενέργειες φαρμακευτικής αγωγής [undo]
  • 10/10000 [undo]
  • White [undo]
  • Descrierea 3 [undo]
  • Node 9: Reassure her receive continuous supportw node [undo]
  • Grapefruit-simvastatin interaction [undo]
  • Inhibits the conversion of fibrinogen to fibrin [undo]
  • Buy non prescribed anti-anxiety medication [undo]
  • Ionuț va cere bani de la mama sa. [undo]
  • (1) προφάση, (2) μεσοφάση, (3) τελόφαση, (4) προμεταφάση, (5) μετάφαση και (6) ανάφαση [undo]
  • Node 10: Move to scheduling follow-up sessions [undo]
  • Live specimens [undo]
  • Node 14: Provide a support contact for technical issues [undo]
  • The result [undo]
  • Respond bluntly: “That is common in diabetes.” [undo]
  • The onset [undo]
  • Που θα οδηγήσει [undo]
  • Descrierea 2 [undo]
  • Commercial Platform [undo]
  • Ignore the emotional expression. [undo]
  • Temporarily stop taking metformin [undo]
  • Η εκπαιδευτικός μοιράζει τους ρόλους των ηθοποιών [undo]
  • Connecting Care Virtually: Building Trust and Teamwork in Digital Health Communication [undo]
  • Increased entry of fatty acids into adipocytes [undo]
  • Genotyping mice for the noveltin gene I: PCR Reagents [undo]
  • Decreased entry of glucose into muscle cells [undo]
  • 8 y.o. Child came in the ER with his mother [undo]
  • What should Anna do? [undo]
  • 27 [undo]
  • Verify patient identity and obtain e-consent before starting. [undo]
  • Option 2 [undo]
  • Gastrointestinal symptoms [undo]
  • Glipizide [undo]
  • Presentation [undo]

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

reset

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