A 55-Year-Old Man Comes to the Office for a Routine

question 298

Multiple Choice

A 55-year-old man comes to the office for a routine checkup.  The patient was diagnosed with type 2 diabetes mellitus 3 years ago, and treatment was initiated with metformin and lifestyle modification.  Liraglutide was added to his medical regimen a year ago due to inadequate glycemic control.  The patient reports no symptoms other than the occasional "feelings of low blood sugar" when he skips a meal.  Blood glucose readings during those episodes have been 60-70 mg/dL.  He also takes atorvastatin for hyperlipidemia and low-dose aspirin.  The patient smoked a pack of cigarettes daily for 30 years but quit when he was diagnosed with diabetes.  He does not use alcohol or recreational drugs.  Blood pressure is 128/80 mm Hg, pulse is 76/min, and respirations are 14/min.  BMI is 27.5 kg/m².  Physical examination shows normal heart and lung sounds and normal pulses in the extremities.  There are no lower extremity ulcers or calluses, and vibration and sensory function is intact.  Pressure testing with a 10-g monofilament is normal.  Laboratory results are as follows: Urinalysis is negative for protein, glucose, cells, or casts, and ECG shows no abnormalities.  Which of the following is the most appropriate next step in management of this patient?

• A)Begin lisinopril
• B)Check urine albumin/creatinine ratio
• C)Discontinue liraglutide
• D)Initiate niacin
• E)Perform exercise stress testing

Comprehend the distinction between manifest and latent functions in society.

Distinguish between macrosociology and microsociology and their respective focuses.

Appreciate the importance of diversity in sociological analysis and how it is intertwined with various social institutions.

Understand the concepts of "empirical science," "verstehen," and debunking within the sociological context.

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Definitions:

Occipital Lobe

The occipital lobe is the region of the brain located at the back of the skull, responsible for processing visual information.

Visual Cortex

The part of the cerebral cortex that processes visual information, located in the occipital lobe of the brain.

Afterimage

A visual illusion in which retinal impressions persist after the removal of a stimulus, leading to the perception of an image in complementary colors.

Fusiform Face Area

A region of the human brain located in the fusiform gyrus, which is thought to be involved in the recognition of faces.