What would be the plan for this patient

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Reference no: EM134004702

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1. A 73-year-old female with type 2 diabetes presents to the office for a routine visit. She is compliant with metformin 500mg 8 reports home glucose levels are 170-200. Her A1C in office is 7.5%. What would be the plan for this patient?

Add a rapid acting insulin at meal times
Increase Metformin to 1000mg BID
Refer patient to endocrinologist for management
Continue current medication regimen and educate patient on lifestyle change

2. Petunia, 18, who is obese and diabetic, is complaining of abnormal hair growth on her chin, upper lip, and sides of her face. She states she shaves every day. You observe thick, dark stubble on the areas of complaint. You use the mG hirsutism scoring system and she scores 9. You know the most common cause for hirsutism in females is:

PCOS
Acromegaly
Hypothyroidism
A pituitary tumor

3. Mr. Gray is noted to have cellulitis, non-MRSA. As a sound practitioner, you order this medication as the frst line of treatment:

Cephalexin
Amoxicillin
Metronidazole
trimethoprim-sulfa

4. You see a 15-year-old wrestler who has a cellulitis that is very suspicious for MRSA. You culture the area but want to begin treatment at this visit. He is allergic to Bactrim/sulfa. What other medication could you use?

clindamycin
amoxicillin
levaquin
otc neosporin ointment

5. A 52-year-old well African American woman presents with new onset HTN. Which of the following represents the best choice of antihypertensive agent according to JNC VIII and general pathophysiology:

Diltiazem
Lisinopril
Methylodpa
Atenolol

Reference no: EM134004702

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