65-year-old man comes to the physician complaining of decreased appetite, nausea, abdominal bloating, and early satiety for the past several months

65-year-old man comes to the physician complaining of decreased appetite, nausea, abdominal bloating, and

early satiety for the past several months. He has no heartburn or epigastric pain but does have occasional

vomiting. The patient has longstanding type 2 diabetes mellitus complicated by nonproliferative retinopathy and

has taken insulin for the last 15 years. His blood glucose readings using the home monitor are 40-400 mg/dL.

Most of the low blood glucose readings occur after meals. Which of the following would be most helpful in treating

this patient’s condition?

  • 0 A. Diphenhydramine
  • O B. Helicobacter pylori eradication therapy
  • 0 C. Lansoprazole
  • 0 D. Megestrol acetate
  • 0 E. Metoclopramide
  • 0 F. Ondansetron
  • 0 G. Promethazine
  • 0 H. Ranitidine

0 voters

45-year-olcl mildly overweight man admitted to the hospital 5 clays ago with anterior wall myocardial infarction develops sudden

onset of left-sided chest pam He underwent cardiac cathet!lfIzation on admission that showed complete occlusion of the left anterior

clescenclIr19 anery However, no revascularization was performed clue to late p(esentabon He has had no clyspnea, extremity

swelling, or patpI\ations since aclmIsston His past medical history is significant for clIabetes melhtus type 2 and hyperlipidemia. He

appears agitated and restless Two minutes later, he is unresponsive His pulse Is not palpable ancl the electrocardiogram shows

smus tachycardia ol 130/mIn Which of the following is the most likely cl1agnos1s?

Q A Acute pericarclIt1s

QB Aort1c cl1ssect1011

Q C lnterventncular septum rupture

Q D Pap1llarymusclerupture

  • Q A Acute pericarclIt1s
  • QB Aort1c cl1ssect1011
  • Q C lnterventncular septum rupture
  • Q D Pap1llarymusclerupture
  • Q E Pulmonary InlarctIon
  • Q F Recurrent ischemia
  • Q G Right ventncularInfarction
  • Q H Ventricular aneurysm
  • QI Ventricularfree wall rupture

0 voters

Q E Pulmonary InlarctIon

Q F Recurrent ischemia

Q G Right ventncularInfarction

Q H Ventricular aneurysm

QI Ventricularfree wall rupture