A sedentary 50-year-old man with hypertension comes to the physician because of a 6-week history of depression, anxiety,
Posted: Mon Apr 11, 2022 7:49 am
A sedentary 50-year-old man with hypertension comes to the physician because of a 6-week history of depression, anxiety, difficulty sleeping, fatigue, decreased appetite, and poor memory and concentration. He had an anterior wall myocardial infarction 3 months ago He has one glass of wine each evening. He is 165 cm (5 ft 5 in) tall and weighs 67 kg (148
l b ) ; B M I i s 2 5 k g / m 2. H i s p u l s e i s 1 0 4 / m i n , r e s p i r a t i o n s a r e 1 6 / m i n , a n d b l o o d p r e s s u r e i s 1 7 7 / 8 9 m m H g . H i s E C G i s u n c h a n g e d f r o m h i s l a s t a p p o i n t m e n t . L a b o r a t o r y s t u d i e s s h o w a h e m o g l o b i n c o n c e n t r a t i o n o f 1 3 . 8 g / d l a n d s e r u m L D L - c h o l e s t e r o l c o n c e n t r a t i o n o f 1 2 7 m g / d l ; s e r u m L D L - c h o l e s t e r o l c o n c e n t r a t i o n w a s 1 1 7 m g / d l a t h i s l a s t v is~. W h i c h o f t h e following is most likely to decrease this patient's risk for mortality over the next 2 years?
A) Abstinence from alcohol
B) Diet high in omega-3 fatty acids
C) Low-calorie diet
D) Anti depressant therapy
E) Anxioly ictreatment
l b ) ; B M I i s 2 5 k g / m 2. H i s p u l s e i s 1 0 4 / m i n , r e s p i r a t i o n s a r e 1 6 / m i n , a n d b l o o d p r e s s u r e i s 1 7 7 / 8 9 m m H g . H i s E C G i s u n c h a n g e d f r o m h i s l a s t a p p o i n t m e n t . L a b o r a t o r y s t u d i e s s h o w a h e m o g l o b i n c o n c e n t r a t i o n o f 1 3 . 8 g / d l a n d s e r u m L D L - c h o l e s t e r o l c o n c e n t r a t i o n o f 1 2 7 m g / d l ; s e r u m L D L - c h o l e s t e r o l c o n c e n t r a t i o n w a s 1 1 7 m g / d l a t h i s l a s t v is~. W h i c h o f t h e following is most likely to decrease this patient's risk for mortality over the next 2 years?
A) Abstinence from alcohol
B) Diet high in omega-3 fatty acids
C) Low-calorie diet
D) Anti depressant therapy
E) Anxioly ictreatment