Select the class of Anti-diabetic medication that works in the specified organto prevent hyperglycemia. Select all that applies. Fat Tissue (H)

• A.Sulfonylureas
• B.Alpha- Glucosidase Inhibitors
• C.DPP4 Inhibitors
• D.Glucagon-like peptide-1 receptor agonists
• E.Thiazolidinediones
• F.Biguanide
• G.SGLT2 inhibitors

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LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.
His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain.
Post-op day 1, LN's medication includes Dexamethasone 8 mg iv q6h with taper dosing, Ondansetron 4 mg iv q6h prn for N/V, Levothyroxine 0.075 mg po daily, Lisinopril 10 mg po daily, Citalopram 20 mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10 mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10 mg iv q6h, Metformin 500 mg po bid, D51/2NS with 20 K at
125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6 min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl, K
5.0 mmol/L, Na 135 mmol/L.
Which of the following medication may cause tardive dyskinesia when given at a higher dose and for a long duration?

• A.Lisinopril
• B.Dexamethasone
• C.Famotidine
• D.Metoclopramide
• E.Hydromorphone

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What is the mechanism of action of the active ingredient found in Zyflo?

• A.Ultra-long-acting beta-2 agonist
• B.5-lipogenase inhibitor
• C.Leukotriene D4 inhibitor
• D.Long-acting anticholinergic

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Results from a Meta-analysis where they looked at frequency of postoperative arterial fibrillation in patients on Ascorbic acid after cardiac surgery found odds ratio, 0.44 (95% CI, 0.32 to 0.61). How can you interpret this data?

• A.Ascorbic acid increased frequency of postoperative arterial fibrillation after cardiac surgery by 44%
• B.Ascorbic acid decreased frequency of postoperative arterial fibrillation after cardiac surgery by 44%
• C.There was no statistically significant difference in frequency of postoperative arterial fibrillation after cardiac surgery
• D.Ascorbic acid decreased frequency of postoperative arterial fibrillation after cardiac surgery by 56%
• E.None of the above are correct

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Which of the following medication should be avoided in patients with heart failure?

• A.Cilostazol
• B.Pioglitazone
• C.Naproxen
• D.Celebrex
• E.All of the above

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