Test your medicine knowledge: 48-year-old woman with type 2 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old woman is evaluated during a follow-up visit. She has a 5-year history of type 2 diabetes mellitus. She has no other significant medical history. Medications are atorvastatin, metformin, and a multivitamin. She works as a mail carrier and has a walking route that takes 3 hours each day. She consumes a diet high in fruits and vegetables and does not smoke. On physical examination, the patient is afebrile, blood pressure is 128/80 mm Hg, pulse rate is 70/min, and respiration rate is 12/min. BMI is 26. The remainder of the examination is unremarkable. Laboratory studies are significant for a serum LDL cholesterol level of 135 mg/dL (3.50 mmol/L) and serum HDL cholesterol level of 37 mg/dL (0.96 mmol/L). Urinalysis is negative for albuminuria. Her estimated 10-year cardiovascular risk by the Pooled Cohort Equations is 2.7%. Which of the following is the most appropriate cardiovascular disease risk management? A. Aspirin B. Coronary artery calcium scoring C. Exercise stress testing D. Folic acid supplementation E. No further testing or therapy Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Diabetes Source Type: blogs