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?

  • Increased secretion of insulin from the pancreas [undo]
  • Amnestic exam [undo]
  • Ξεκινάτε σίτιση με τυποποιημένο γάλα [undo]
  • Preparation of liquid cultures [undo]
  • Learn about cognitive decline and aging [undo]
  • Αντιβιοτικά - Φουροσεμίδη [undo]
  • Metabolismo y Enzimas [undo]
  • Γονότυπος [undo]
  • Dobutamine (beta agonist) [undo]
  • Rely on physical traits [undo]
  • Alelă [undo]
  • Sacubitril-valsartan (ARNI) [undo]
  • METABOLISM OF THE CELL ENZYMES [undo]
  • Αλληλόμορφα [undo]
  • Basic Enzyme Definitions [undo]
  • Διάλειμμα μετά από περπάτημα κατά τη διάρκεια καύσωνα [undo]
  • Glipizide [undo]
  • Option 1: A and C are correct [undo]
  • new node [undo]
  • Presentation [undo]
  • Η συμβολή του εικονικού ασθενή (virtual patient) ως εκπαιδευτικό εργαλείο στη διαχείριση και την αντιμετώπιση ραγέντων ανευρυσμάτων κοιλιακής αορτής [undo]
  • Root Node [undo]
  • Furosemide (loop diuretic) [undo]
  • [undo]
  • Introduction to the profession and to other students [undo]
  • You suggest that we go for coffee with the doctors. [undo]
  • Start by selecting the pipette appropriate for your volume. [undo]
  • Increased entry of fatty acids into adipocytes [undo]
  • Increased entry of fatty acids into adipocytes [undo]
  • Decreased entry of glucose into muscle cells [undo]
  • Start [undo]
  • Root Node [undo]
  • B, C, F [undo]
  • Protein Synthesis [undo]
  • Intro [undo]
  • Pipettes [undo]
  • Decreased production of glucose from the liver [undo]
  • Temporarily stop taking metformin [undo]
  • First node [undo]
  • Decreased entry of glucose into muscle cells [undo]
  • Celulele HeLa sunt ușor de cultivat și proliferează foarte ușor [undo]
  • ΧΡΗΣΗ ΒΑΣΙΚΟΥ ΕΡΓΑΣΤΗΡΙΑΚΟΥ ΕΞΟΠΛΙΣΜΟΥ [undo]
  • Αντιβιοτικά - Ειδικός γιατρός [undo]
  • Increased secretion of insulin from the pancreas [undo]
  • Αντιμετώπιση του λίθου του κάτω πόλου του νεφρού [undo]
  • Αντιβιοτικά - Αντιβιοτικά [undo]
  • Πιπέτες [undo]
  • Παράδοση Περιστατικού Εισαγωγής [undo]
  • Give Intravenous Antibiotics [undo]
  • Αντιβιοτικά - Υπερηχοκαρδιογράφημα [undo]
  • Molecular Cloning [undo]
  • Temporarily stop taking metformin [undo]
  • Presentation [undo]

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

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