A 45-Year-Old Woman Comes to the Office for Follow-Up of Type

question 302

Multiple Choice

A 45-year-old woman comes to the office for follow-up of type 2 diabetes mellitus.  The patient was diagnosed with diabetes 3 years ago after developing polyuria, polydipsia, and recurrent vulvovaginal candidiasis.  She initially tried lifestyle changes but had no significant glycemic improvement and was started on metformin.  The patient is adherent with her therapy and consumes a low-carbohydrate diet.  Family history is significant for an osteoporotic fracture in her mother.  Blood pressure is 134/86 mm Hg and pulse is 72/min.  BMI is 33 kg/m².  Physical examination shows no abnormalities.  Laboratory results show a hemoglobin A1c of 8.2%.  After further discussion, a sodium-glucose cotransporter-2 inhibitor is added to the patient's drug regimen.  Which of the following is the most likely additional effect of the newly prescribed medication?

• A)Decreased blood pressure
• B)Decreased genitourinary infections
• C)Increased bone mineral density
• D)Increased fluid retention
• E)Increased postprandial satiety

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Definitions:

Surface Diversity

Visible differences among members of a group, including age, ethnicity, gender, physical abilities, and race, without necessarily reflecting deeper variations in values or beliefs.

Group Cohesiveness

refers to the extent to which members of a group stick together and remain united in pursuing common objectives.

Self-managed Work Teams

Groups of employees who operate without traditional managerial supervision, assuming responsibility for their governance, decision-making, and operations.

Process Loss

The reduction in group performance or efficiency due to problems associated with coordination and motivation among members.