A 50-Year-Old Man Comes to the Physician for a Routine

question 24

Multiple Choice

A 50-year-old man comes to the physician for a routine check-up.  He has a 20-pack-year smoking history and consumes alcohol occasionally.  He eats a balanced diet and consumes fried foods and red meat several times a week.  He is not very active and spends much of his free time watching television and sitting at his computer.  His family history is significant for hypertension in his mother and bladder cancer in his father.  His blood pressure is 160/90 mm Hg and heart rate is 70/min.  Laboratory testing is significant for a fasting blood glucose level of 155 mg/dL.  Which of the following interventions is likely to have the greatest effect on reducing this patient's mortality risk?

• A)Annual fecal occult blood test
• B)Annual prostate-specific antigen test
• C)Daily aspirin
• D)Dietary modification
• E)Regular exercise
• F)Smoking cessation
• G)Tight glycemic control

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