A 56-year old woman had a fasting plasma glucose of 180 mg/d…

A 56-year old woman had a fasting plasma glucose of 180 mg/dL at her PCP visit 1 month ago. Fasting glucose today is 165 mg/dL.  Her medical history is significant for congestive heart failure and hyperlipidemia.  Current medications include aspirin, hydrochlorothiazide, and metoprolol.  BMI is 34, BP 148/91 mm Hg, and the remainder of the physical examination is unremarkable. HbA1c is 7.1%.  Estimated GFR is 72 ml/min/1.73 m2.  Urine albuminuria is 60 mg/g. 18. In addition to an increase in physical activity, diet changes and weight loss, which of the following medications should be added?

Use the following vignette to answer questions 29 – 31. A 26…

Use the following vignette to answer questions 29 – 31. A 26 y.o woman is visiting your office with complaints of back pain and headaches. These symptoms have affected her for several months and have worsened significantly. She has been taking various over-the-counter analgesics with some relief of the back pain but not of the headache. The patient also reports that more recently, she is experiencing some episodes of dyspnea.  During the office visit her pressure is 148/102 mmHg, and two subsequent measurements do not diverge significantly from these numbers. Her body Temperature is 100.2°F, HR is 78 bpm, with RR 24 breaths per minute, labored, and shallow at times. At the physical examination, heart sounds are normal and lung fields are clear although the tympanic sound at the lung bases is lost in both posterior quadrants. The abdomen appears to be slightly distended, and abdominal palpation reveals a liver border protruding below the rib cage, and the presence of bilateral masses in the right and left lower quadrants. Assessment of occult blood in the feces is negative. 29. Which of the following diagnosis is most consistent with this clinical presentation?

39. Which of the following is true regarding the location in…

39. Which of the following is true regarding the location in which these diuretics work? Thick Ascending Limb Distal Tubule Cortical Collecting Duct A. Thiazides Amiloride Furosemide B. Amiloride Thiazides Furosemide C. Furosemide Amiloride Thiazides D. Furosemide Thiazides Amiloride