A 45-Year-Old Man Comes to the Office for Routine Follow-Up

question 1598

Multiple Choice

A 45-year-old man comes to the office for routine follow-up.  The patient was diagnosed with hypertension and hypercholesterolemia a year ago and is taking hydrochlorothiazide and amiloride daily.  He currently feels well.  He does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 135/85 mm Hg.  Physical examination is unremarkable.  Laboratory results are as follows: There was no evidence of hemolysis when the blood sample was checked by the laboratory technician.  ECG demonstrates normal sinus rhythm with no other abnormalities.  Which of the following is the most appropriate next step in management of this patient?

• A)Change amiloride to amlodipine and recheck laboratory results in a week
• B)Change hydrochlorothiazide to amlodipine and recheck laboratory results in a week
• C)Instruct the patient to take daily oral calcium carbonate
• D)Start intravenous dextrose and insulin
• E)Tell the patient to start a low-potassium diet

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Definitions:

Patient Navigator

A professional who assists patients in navigating the complexities of the healthcare system, ensuring they receive timely care and support.

Utilitarian Values

Ethical principles that propose actions should be judged by their consequences, with the aim of providing the greatest good for the greatest number.

Reflective Practice

A continuous process where an individual critically analyzes their decisions and actions, leading to improved professional practice.

Abdominal Assessment

A clinical examination of the abdomen to check for signs of disease in the organs and other tissues in the belly.