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
  • Sitagliptin
  • Insulin detemir
  • Dapagliflozin
End Session and View Feedback
  • History of Present Illness [undo]
  • Salbutamol (SABA) [undo]
  • Privacy risk [undo]
  • Opțiunea 1 [undo]
  • Laboratory Safety [undo]
  • Decreased levels of HDL [undo]
  • Digoxin [undo]
  • LAB SAFETY [undo]
  • MICROSCOPIA ELECTRONICĂ [undo]
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline [undo]
  • Decreased entry of glucose into muscle cells [undo]
  • Increased entry of fatty acids into adipocytes [undo]
  • Increased LDL uptake in hepatocytes [undo]
  • Наполягати на амбулаторному обстеженні та лікуванні. [undo]
  • Tele-Physical Examination [undo]
  • Αλληλόμορφα [undo]
  • Ethanol [undo]
  • Amplificarea ADN-ului [undo]
  • Digoxin (digitalis, positive inotropic drug) [undo]
  • Decreased absorption of dietary cholesterol [undo]
  • USING BASIC LABORATORY EQUIPMENT [undo]
  • Mechanism of action of GTN [undo]
  • Sacubitril-valsartan (ARNI) [undo]
  • Las células HeLa se cultivan fácilmente y son altamente proliferativas [undo]
  • Temporarily stop taking metformin [undo]
  • new node [undo]
  • Διάχυση [undo]
  • ΚΥΤΤΑΡΙΚΗ ΔΟΜΗ ΚΑΙ ΛΕΙΤΟΥΡΓΙΑ [undo]
  • Sinteza proteinelor [undo]
  • Results [undo]
  • you will need to adjust the camera focus and sit further from camera [undo]
  • Ramipril (ACE inhibitor) [undo]
  • Glyceryl trinitrate (organic nitrate) [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]
  • Introduction to the profession and to other students [undo]
  • B, C, F [undo]
  • Ορισμός 1 [undo]
  • I don’t see you follow my instruction, do you not want to lift your left arm? [undo]
  • Emergency Department [undo]
  • Bedside Ultrasound Examination [undo]
  • Metabolism and Enzymes [undo]
  • Increased entry of fatty acids into adipocytes [undo]
  • A, B, C [undo]
  • What happens with the Age? [undo]
  • Give Surfactant via Endotracheal Tube [undo]
  • Give Intravenous Dexamethasone [undo]
  • A, B, E [undo]
  • Intro [undo]
  • Αιμοδυναμική αστάθεια [undo]
  • Re-referral [undo]
  • Pipettes [undo]
  • Start [undo]
  • Re-referral [undo]
  • Refer to breastfeeding counselor [undo]
  • Theophylline [undo]
  • Contractility [undo]
  • Glycerol trinitrate (organic nitrate) [undo]
  • Εκπαιδεύοντας τον ασθενή σας στην αυτοδιαχείριση [undo]
  • DNA Amplification [undo]
  • Facem cunoștință cu laboratorul și cu ceilalți studenți [undo]
  • Omnom! [undo]
  • How do scientists measure brain changes? [undo]
  • Τεστ Fehling’s [undo]
  • 50nm to 1mm [undo]
  • Secvențierea genomului [undo]
  • Відмовитися від ліків, оскільки я вже почуваюся краще. [undo]
  • Opțiunea 1: Pentru siguranța noastră și a colegilor noștri în timpul și după practica de laborator [undo]
  • Mental Status [undo]
  • Trăsături [undo]
  • ΜΕΝΔΕΛΙΚΗ ΓΕΝΕΤΙΚΗ ΚΑΙ ΠΡΟΒΛΗΜΑΤΑ [undo]
  • Definiția 1 [undo]
  • EMB [undo]
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme [undo]
  • Πέψη DNA με Περιοριστικές Ενδονουκλεάσες: Επιλογή του Κατάλληλου Ενζύμου [undo]
  • Option 2: Only B is correct [undo]
  • Opțiunea 2: Pentru a identifica și manipula corespunzător materialele periculoase din laborator [undo]
  • Option 2 [undo]
  • Osmosis [undo]
  • Motor Exam [undo]
  • Sudan III Test [undo]
  • ΚΥΤΤΑΡΙΚΗ ΔΙΑΙΡΕΣΗ [undo]
  • ΒΙΟΣΤΑΤΙΣΤΙΚΗ: ΕΙΣΑΓΩΓΗ ΣΤΙΣ ΠΙΘΑΝΟΤΗΤΕΣ [undo]
  • Definición 2 [undo]
  • X ray [undo]
  • Calcium: Increased; Potassium: Decreased; Sodium: Decreased [undo]
  • Permanently stop taking metformin [undo]
  • Spironolactone (aldosterone antagonist) [undo]
  • B, C, E [undo]
  • rewrerwe [undo]
  • Adverse effect to budesonide [undo]
  • Osmoză [undo]
  • Επιπρόσθετο φίλτρο Αλουμινίου (Al) [undo]
  • Diffusion [undo]
  • new node [undo]
  • Genotip [undo]
  • [undo]
  • Emulsion Test [undo]
  • Vital Sign [undo]
  • Αρχίζει Γνωσιακή - Συμπεριφορική Θεραπεία [undo]
  • >Ο θόρυβος της εικόνας θα μειωθεί κατά 40% [undo]
  • new node [undo]
  • new node [undo]
  • Ο σύλλογος της περιοχής σου θέλει να βοηθήσει τους γιατρούς που φροντίζουν τους ασθενείς με κορονοϊό. [undo]
  • Root Node [undo]
  • Επίσκεψη επανελέγχου [undo]
  • Lab Tests [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

  • Omalizumab (IgE antibody)/Salbutamol (SABA)
  • History of Present Illness
  • Salbutamol (SABA)
  • Privacy risk
  • Opțiunea 1
  • Laboratory Safety
  • Decreased levels of HDL
  • Digoxin
  • LAB SAFETY
  • MICROSCOPIA ELECTRONICĂ
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline
  • Decreased entry of glucose into muscle cells
  • Increased entry of fatty acids into adipocytes
  • Increased LDL uptake in hepatocytes
  • Наполягати на амбулаторному обстеженні та лікуванні.
  • Tele-Physical Examination
  • Αλληλόμορφα
  • Ethanol
  • Amplificarea ADN-ului
  • Digoxin (digitalis, positive inotropic drug)
  • Decreased absorption of dietary cholesterol
  • USING BASIC LABORATORY EQUIPMENT
  • Mechanism of action of GTN
  • Sacubitril-valsartan (ARNI)
  • Las células HeLa se cultivan fácilmente y son altamente proliferativas
  • Temporarily stop taking metformin
  • new node
  • Διάχυση
  • ΚΥΤΤΑΡΙΚΗ ΔΟΜΗ ΚΑΙ ΛΕΙΤΟΥΡΓΙΑ
  • Sinteza proteinelor
  • Results
  • Наполягати на амбулаторному обстеженні та лікуванні.
  • you will need to adjust the camera focus and sit further from camera
  • Ramipril (ACE inhibitor)
  • Glyceryl trinitrate (organic nitrate)
  • 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.
  • Introduction to the profession and to other students
  • B, C, F
  • Ορισμός 1
  • I don’t see you follow my instruction, do you not want to lift your left arm?
  • USING BASIC LABORATORY EQUIPMENT
  • Sacubitril-valsartan (ARNI)
  • Emergency Department
  • Bedside Ultrasound Examination
  • Metabolism and Enzymes
  • Increased entry of fatty acids into adipocytes
  • A, B, C
  • What happens with the Age?
  • Give Surfactant via Endotracheal Tube
  • Give Intravenous Dexamethasone
  • A, B, E
  • Intro
  • Αιμοδυναμική αστάθεια
  • Re-referral
  • Re-referral
  • Pipettes
  • Start
  • Re-referral
  • Refer to breastfeeding counselor
  • Pipettes
  • Start
  • Theophylline
  • Contractility
  • Glycerol trinitrate (organic nitrate)
  • Εκπαιδεύοντας τον ασθενή σας στην αυτοδιαχείριση
  • DNA Amplification
  • Facem cunoștință cu laboratorul și cu ceilalți studenți
  • Omnom!
  • How do scientists measure brain changes?
  • Τεστ Fehling’s
  • 50nm to 1mm
  • Secvențierea genomului
  • Відмовитися від ліків, оскільки я вже почуваюся краще.
  • Opțiunea 1: Pentru siguranța noastră și a colegilor noștri în timpul și după practica de laborator
  • Mental Status
  • Trăsături
  • ΜΕΝΔΕΛΙΚΗ ΓΕΝΕΤΙΚΗ ΚΑΙ ΠΡΟΒΛΗΜΑΤΑ
  • Definiția 1
  • EMB
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme
  • Πέψη DNA με Περιοριστικές Ενδονουκλεάσες: Επιλογή του Κατάλληλου Ενζύμου
  • Option 2: Only B is correct
  • Opțiunea 2: Pentru a identifica și manipula corespunzător materialele periculoase din laborator
  • Option 2
  • Osmosis
  • Motor Exam
  • Sudan III Test
  • ΚΥΤΤΑΡΙΚΗ ΔΙΑΙΡΕΣΗ
  • ΒΙΟΣΤΑΤΙΣΤΙΚΗ: ΕΙΣΑΓΩΓΗ ΣΤΙΣ ΠΙΘΑΝΟΤΗΤΕΣ
  • Definición 2
  • X ray
  • Calcium: Increased; Potassium: Decreased; Sodium: Decreased
  • Permanently stop taking metformin
  • Spironolactone (aldosterone antagonist)
  • B, C, E
  • rewrerwe
  • Adverse effect to budesonide
  • Osmoză
  • Επιπρόσθετο φίλτρο Αλουμινίου (Al)
  • Diffusion
  • new node
  • Genotip
  • Emulsion Test
  • Vital Sign
  • Αρχίζει Γνωσιακή - Συμπεριφορική Θεραπεία
  • >Ο θόρυβος της εικόνας θα μειωθεί κατά 40%
  • X ray
  • new node
  • new node
  • Ο σύλλογος της περιοχής σου θέλει να βοηθήσει τους γιατρούς που φροντίζουν τους ασθενείς με κορονοϊό.
  • Root Node
  • Επίσκεψη επανελέγχου
  • Lab Tests
  • Further Developments

Reminder

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