Blog

Jerry is a 58-year-old male, with past medical history of type 2 diabetes, hypertension, hyperlipidemia, glaucoma, gout, HF, and peripheral neuropathy.  He takes Metformin, Trulicity (GLP1RA), Humalog (rapid acting insulin) and Lantus (basal insulin).  Jerry presented initially about 1 week ago and saw your collaborating physician in clinic with abdominal pain, nausea and vomiting.  Labs were drawn, below are the results: Na        138 mmol/L  (135-145) K           4.2 mEq  (3.5-5.0 mEq) Cr          1.01 mg/dL  (0.8-1.3) eGFR     >60 mL/min/1.73m2 Cl           101 mEq/L  (97-110) CO2       26 mmol/L  (22-32) Lipase     560 U/L (10-140) Based on the above subjective and objective findings, what is your plan of care?

Erin, a 54-year-old patient of yours, has had type 2 diabetes for 15 years and her most recent A1C is 6.9%.  Currently, she takes 1000 mg of Metformin, BID.  Which labs are important to monitor in patients who take Metformin?  Select all that apply.

Which health problems are patients with hypertriglyceridemia are at risk for?  Select all that apply.

Jerry is a patient in your practice with hyperlipidemia.  Recent labs reveal the need for statin therapy.  His baseline ALT is 46 (normal 7-56).  When you do follow up labs, his lipids are greatly improved but his ALT is now 60.  What is the best plan of care?

Grace is a 64-year-old patient that was recently diagnosed with hypertension.  Past medical history includes heart failure and current 1/2 ppd cigarette smoker.  The patient asks what should her blood pressure goal be, and what other suggestions you have for improving her hypertension.  Select all that apply.

What is a contraindication for statin therapy?

Ideally, how frequently should a patient with diabetes have their hemoglobin A1c tested, particularly if the result is not at goal?

(3 points) What is the dimension of the Nul(A) if A =

(3 points) Which of the following sets are orthogonal? Be sure to show the work on how you solved it.  

(3 points) Find the inner product of the two given vectors: