A 54-Year-Old Man Comes to the Office for Diabetes Follow-Up

question 1026

Multiple Choice

A 54-year-old man comes to the office for diabetes follow-up.  The patient has a 5-year history of type 2 diabetes mellitus treated with metformin.  He also has hypertension and had coronary stenting for non-ST-elevation myocardial infarction a month ago.  The patient feels well and reports no symptoms.  Since the myocardial infarction, he has taken all medications as prescribed and strictly followed lifestyle recommendations.  He does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 130/74 mm Hg and pulse is 68/min.  BMI is 30 kg/m².  Physical examination shows no abnormalities.  Serum creatinine is 0.8 mg/dL and hemoglobin A1c is 7.8%.  Which of the following medications has an added protective effect on this patient's cardiac and weight-related comorbidities?

• A)Basal insulin
• B)Canagliflozin
• C)Glipizide
• D)Pioglitazone
• E)Sitagliptin

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Definitions:

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The way in which a topic or problem is presented or perceived, often highlighting certain aspects over others to shape public opinion or policy.

Availability Heuristic

A mental shortcut that relies on immediate examples that come to mind when evaluating a specific topic, concept, method, or decision.

Political Priming

The process by which exposure to a stimulus influences the response to a subsequent stimulus, by activating a political concept or schema.

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A cognitive structure or approach guiding the selection and implementation of strategies in problem-solving or decision-making processes.