A 49-year-old man presents for routine physical examination. The patient has no active complaints today other than occasional constipation and increased frequency of urination. The patient reports that he has a diagnosis of “pre-diabetes” given to him by his previous physician in another city. His family history is significant for hypertension. The patient denies alcohol or drug use and works as a long-distance truck driver. Physical examination is unremarkable except for a body mass index of 31 kg/m2. The patient's fasting laboratory values reveal the following.Hemoglobin A1c 7.9%Serum glucose 170 mg/dLTotal cholesterol 220 mg/dLLow-density lipoprotein (LDL) 145 mg/dLTriglycerides 130 mg/dLHigh-density lipoprotein 38 mg/dL Which of the following is the best next step in the management of this patient?Ask StudybuddyGroup of answer choicesSulfonylureaLifestyle modificationNiacin, fish oil, and lifestyle modificationAtorvastatin and lifestyle modification

complaining of excessive urination and constant hunger and thirst. She has no other complaints and no past medical history. Her family history is significant for hypertension, type 2 diabetes mellitus, and hyperlipidemia. She does not smoke but lives a sedentary lifestyle. On examination, she is afebrile with a blood pressure of 134/88 mmHg, heart rate of 84 beats per minute, and respiratory rate of 14 breaths per minute. The rest of her examination is normal. The patient is scheduled for a return visit to have fasting laboratory tests drawn. At her return visit, her blood pressure is 138/86 mmHg. Her fasting glucose is 156 mg/dL, and urine albumin-to-creatinine ratio is 200 mg/g. What is the next step in management for this patient?

If fasting blood glucose levels are 126 mg/dl or higher on two or more tests, an individual may likely have diabetes. 答案选项组TrueFalse

A 68-year-old male presented to the primary care physician for his annual visit. His past medical history was significant for mildly elevated blood pressure during the prior annual visit. He was in good health, otherwise. He was advised to reduce salt intake and increase physical activity during that visit. On physical examination, his blood pressure is 178/72 mm Hg, with no clinically significant differences between arms or on standing. He has a body mass index of 28.4 kg/m2 (normal: 18-25 kg/m2). The examination is otherwise unremarkable. Urinalysis is normal. The nonfasting blood glucose level is 95 mg/dL (normal: 80-100 mg/dL), serum potassium is 4.2 mEq/L (normal: 3.5-5 mEq/L), and creatinine is 1.2 mg/dL (normal: 0.7-1.4 mg/dL). Which of the following high blood pressure-related conditions would he most likely have?

A 32-year-old male, who recently moved to the area, presents to clinic for the first time for a routine checkup. PMH is significant for type 2 diabetes. He is 5 ft 9 in and weighs 215 lb. The only medication he takes is metformin. He smokes half a pack of cigarettes a day; does not drink alcohol; and exercises sporadically, approximately once every 2 weeks. His mother died at the age of 62 years due to an MI. His father is 73 years of age and is healthy. Physical examination is normal. Vital signs are: BP 146/95, pulse 73, RR 19, temperature 98.2°F. Which of the following lifestyle modifications has been shown to result in the greatest reduction in blood pressure?Ask StudybuddyGroup of answer choicesDecreasing alcohol consumptionSmoking cessationDietary Approaches to Stop Hypertension (DASH) dietIncreasing exerciseWeight loss

A 46-year-old man comes to the office for follow-up due to a blood pressure reading of 150/95 mm Hg during a preemployment examination.  He has had no symptoms, and his medical history is unremarkable.  The patient is an ex-smoker with a 10-pack-year history; he does not use alcohol or illicit drugs.  He has a family history of hypertension, and his father died of a stroke at age 68.  Blood pressure is 145/90 mm Hg (repeat: 144/92 mm Hg), and pulse is 75/min and regular.  BMI is 29 kg/m2.  Physical examination is unremarkable.  This patient should be screened for which of the following conditions?