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A 66-Year-Old Man Comes to the Office Due to Progressive

question 122

Multiple Choice

A 66-year-old man comes to the office due to progressive vision impairment over the last year that has begun to affect his ability to drive. He has difficulty reading road signs at night and reports excessive glare from the headlights of oncoming cars. The patient has a long history of hypertension and type 2 diabetes mellitus. Funduscopy reveals a diminished red reflex bilaterally with obscuration of retinal detail. It is determined that the patient's condition is in part due to intracellular accumulation of sorbitol. In healthy cells, this sugar alcohol is normally metabolized into which of the following substances to facilitate excretion?

Definitions:

Depression

A mood disorder characterized by persistent feelings of sadness, emptiness, or hopelessness, along with other emotional and physical symptoms.

Session

A meeting or period devoted to a particular activity, such as therapy, training, or research, usually characterized by a defined start and end time.

Gestalt Therapy

A form of psychotherapy that emphasizes personal responsibility and focuses on the individual's experience in the present moment, the therapist-client relationship, the environmental and social contexts of a person's life, and the self-regulating adjustments people make as a result of their overall situation.

Present Moment

The current point in time, which one can experience and focus on, often emphasized in mindfulness and meditation practices as a way to enhance awareness and reduce stress.