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6670 Medicine

A 47-year old woman was referred for bone pain and abnormal findings on radiography. The patient repoed that for the past 17 years, she has habitually consumed water from that area. She repoed a 5-years history ofpain in the lower back, arms, legs and hips, Because of brittleness, all her teeth had been extracted. Radiography ofthe forearm revealed interosseous membrane calcification and radiography of the spine revealed a rugger-jersey appearance (striated pattern of increased density in the upper and lower zones of the veebrae). The condition can be treated with –

ASupplementationof vitamin D
BChange in source of water
CGood-balanced diet
DCalcium chelation
Medicine
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6672 Medicine

A 63-year-old woman with Type 2 diabetes is seen for follow-up after a fasting lipid profile. She has no other medical conditions and feels well. Her diabetes is well controlled and the last hemoglobin A1C value was 6.5%. Her total cholesterol (T-chol) is 240 mg/dL, HDL50 mg/dL, low-density lipoprotein (LDL) 160 mg/dL, and triglycerides 150 mg/dL.For the above patient with dyslipidemia, select the most appropriate treatment.

Afibric acid derivatives (clofibrate, gemfibrozil)
Bnicotinic acid
Cbile acid-binding resins (cholestyramine, colestipol)
Dhepatic hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (lovastatin, simvastatin, pravastatin)
Medicine
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