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:

Tissue Types

The four basic types of tissue in the body, including epithelial, connective, muscle, and nervous tissues.

Organs

Structures made of different tissues that perform specific functions within an organism.

Connective Tissue

A type of biological tissue that supports, connects, or separates different types of tissues and organs in the body.

Mutations

Changes in the DNA sequence of an organism's genome, which can lead to variations in physical traits or affect the organism's health.