CLINICAL MEDICINE

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MEDICINE

NEPHROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A man, 46 years old, came with complaints of an upset stomach. CHAPTER normal. Father was diagnosed with DM & died of a stroke. BP 140/90, BMI 30, hepatomegaly, OT/PT within normal limits, total cholesterol 209 mg/dl, LDL 170 mg/dl, TG 600 mg/dl, Hba1C 9, 2. Appropriate management:
A
Diet, exercise, glibenclamide, valsartan
B
Diet, exercise, metformin, amlodipine, simvastatin
C
Diet, exercise, metformin, valsartan
D
Diet, exercise, metformin, captopril, fenofibrate
E
Diet, exercise, metformin, amlodipine, gemfibrozil
Explanation: 

Detailed explanation-1: -People with high cholesterol often develop high blood pressure as well.

Detailed explanation-2: -Although high blood pressure and high cholesterol often don’t come with symptoms initially, you will eventually notice problems as they progress. Chest pain, leg pain, headaches, lightheadedness, and shortness of breath are some of the heart disease warning signs.

Detailed explanation-3: -Eat a healthy diet that is low in salt; low in total fat, saturated fat, and cholesterol; and rich in fresh fruits and vegetables. Take at least 1 brisk 10-minute walk, 3 times a day, 5 days a week. Don’t smoke. If you smoke, quit as soon as possible.

Detailed explanation-4: -Get active. Physical activity can boost your HDL level. Lose extra weight. If you’re overweight, losing extra pounds can help raise your HDL levels, as well as cut your LDL ("bad") cholesterol levels. Choose better fats. Alcohol in moderation. Stop smoking.

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