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dr_jojo

03/08/07 - 07:25 AM

A 52-year-old woman with alcoholism comes to the physician after a serum cholesterol level of 290 mg/dL was found on a routine screening. She drinks a pint of vodka daily. She takes captopril for hypertension and glyburide for type 2 diabetes mellitus. She also has intermittent episodes of gout. Fasting serum studies show:

Total cholesterol 252 mg/dL
HDL-cholesterol 80 mg/dL
Triglycerides 300 mg/dL
Glucose 118 mg/dL
Thyroid-stimulating hormone 4.5 μU/mL

Which of the following is the most appropriate next step in management?

A
) Alcohol cessation

B
) Better control of diabetes

C
) Switch from captopril to calcium-channel blocking agent therapy

D
) Gemfibrozil therapy

E
) Thyroid replacement therapy

IS IT A !!!

92306
Forum Senior

Topics: 14
Posts: 126

03/08/07 - 07:49 AM

A ) Alcohol cessation

Dr_kholioo
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Topics: 9
Posts: 74

03/08/07 - 08:15 AM

yess

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robin082006
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Topics: 471
Posts: 5,123

03/08/07 - 09:26 AM

A is very clear

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dr_jojo

03/08/07 - 11:17 AM

ok drs thanx

dr in trouble
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Topics: 62
Posts: 610

03/08/07 - 02:56 PM

its A

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