問題詳情
題組 A23 (共 3 題) 病人名：劉先生 年齡：67 性別：男 身高：165 cm 體重：111.5 kg BMI 41Kg/m2 過敏史：無 血壓: 149/96 mmHg 心跳: 80 beats/min 體溫: 37.2℃
● Chief Complaint (CC)：“Lately I feel extremely tired and now my vision is blurred.”● History of Present Illness (HPI) 67 y/o male seen in the family medicine clinic complaining of periodic blurred vision for thepast 3 weeks. He further complains of severe fatigue and lack of energy, which limits his dailyactivities. He states that he started taking a multiple vitamin 1 week ago but has not noticed anyimprovement in his energy level.●Past Medical History (PMH)：HTN x 7 years；Hyperlipidemia x 5 years●Family History (FH) Diabetes present in both father and paternal grandfather. Father died suddenly of a massivestroke at age 62; mother died of breast cancer at age 49; 2 younger siblings are alive andapparently well. ● Medication Record (Prescription and OTC) (MedHx) Propranolol LA 80mg po once daily MVI po once daily
● Laboratory and Diagnostic Tests (Labs)
The patient returned to clinic 3 days later for lab work, which revealed:
診斷：Type 2 DM, Hypertension, Hyperlipidemia, Obesity, metabolic syndrome
請依據以上病人資料回答以下問題：
【題組】3. 劉先生診斷為三高患者，依據 2015 年 ADA 治療三高策略建議其 ABC 目標值為何，下列何者正確？
(A) A1C＜7%、BP＜130/80 mmHg、TC＜200 mg/dL
(B) A1C＜8%、BP＜140/80 mmHg、TG＜200 mg/dL
(C) A1C＜7%、BP＜140/90 mmHg、LDL＜100 mg/dL
(D) A1C＜7%、BP＜130/80 mmHg、LDL＜130 mg/dL
● Chief Complaint (CC)：“Lately I feel extremely tired and now my vision is blurred.”● History of Present Illness (HPI) 67 y/o male seen in the family medicine clinic complaining of periodic blurred vision for thepast 3 weeks. He further complains of severe fatigue and lack of energy, which limits his dailyactivities. He states that he started taking a multiple vitamin 1 week ago but has not noticed anyimprovement in his energy level.●Past Medical History (PMH)：HTN x 7 years；Hyperlipidemia x 5 years●Family History (FH) Diabetes present in both father and paternal grandfather. Father died suddenly of a massivestroke at age 62; mother died of breast cancer at age 49; 2 younger siblings are alive andapparently well. ● Medication Record (Prescription and OTC) (MedHx) Propranolol LA 80mg po once daily MVI po once daily
● Laboratory and Diagnostic Tests (Labs)
The patient returned to clinic 3 days later for lab work, which revealed:
診斷：Type 2 DM, Hypertension, Hyperlipidemia, Obesity, metabolic syndrome
請依據以上病人資料回答以下問題：
【題組】3. 劉先生診斷為三高患者，依據 2015 年 ADA 治療三高策略建議其 ABC 目標值為何，下列何者正確？
(A) A1C＜7%、BP＜130/80 mmHg、TC＜200 mg/dL
(B) A1C＜8%、BP＜140/80 mmHg、TG＜200 mg/dL
(C) A1C＜7%、BP＜140/90 mmHg、LDL＜100 mg/dL
(D) A1C＜7%、BP＜130/80 mmHg、LDL＜130 mg/dL
參考答案
答案：C
難度：計算中-1
書單：沒有書單，新增
難度：計算中-1
書單：沒有書單，新增