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Asked by ProfessorJayMaster435

You are seeing a new patient to the practice. The patient is 66 yrs old and is on metoprolol Xl for

management of PSVT and HCTZ for her blood pressure. She states she has been thirstier lately and

wonders if that has something to do with her HCTZ. As a part of your work up, you order a health panel.

The patient’s fasting glucose is 157, creatinine is 1.0 and her TSH is 3.0. Based on her symptoms and her

lab results, she is diagnosed with type 2 diabetes. With your knowledge of pharmacodynamics and

pharmacotherapeutics, you recognize there is a need for a change in her current medications due to

which of the following?

1. Diuretics and beta blockers decrease insulin sensitivity 

2. Beta blockers cause renal neuropathy

3. Diuretics and beta blockers increase insulin sensitivity

4. Beta blockers cause peripheral neuropathy

SCIENCE
HEALTH SCIENCE
NURSING
NU 636

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