CASE: 56 yr old obese female (BMI = 37.2) tried diet and exercise but lost only 2.6 kg in 6 months. Takes meds for HTN and osteoarthritis in knees and hips. What next? (select all that apply)

  • Refer to dietician (25%, 32 Votes)
  • Refer to health and wellness coach (26%, 33 Votes)
  • Refer to bariatric surgeon (10%, 13 Votes)
  • Semaglutide 2.4mg SC every week (40%, 51 Votes)

Total Voters: 86

Start Date: January 14, 2023 @ 5:44 PM
End Date: February 10, 2023 @ 12:23 PM

CASE: 71 yr old female with hypothyroidism who has taken Levoxyl 50 mcg daily for many years. Medicare Advantage Plan won't pay for brand-name levothyroxine anymore. What would you recommend?

  • Encourage patient to switch to generic levothyroxine product. (66%, 90 Votes)
  • Encourage patient to pay for branded product out-of-pocket. (0%, 0 Votes)
  • Alert physician and get certificate of medical necessary for brand-name product. (32%, 44 Votes)
  • Write letter to the insurance company expressing dismay. (2%, 2 Votes)

Total Voters: 136

Start Date: November 14, 2022 @ 3:56 PM
End Date: No Expiry

CASE: 57 yr old obese female with DM and HTN. Starts lisinopril 10mg daily for HTN. eGFR = 46ml/min at baseline. BP now 132/72 but serum K increases from 4.5 to 5.2 mg/dL. What would you do next?

  • Discontinue lisinopril (11%, 29 Votes)
  • Continue lisinopril, repeat labs in 1 week (39%, 101 Votes)
  • Reduce lisinopril dose to 5mg daily, repeat labs in 2 weeks (44%, 114 Votes)
  • Switch lisinopril to ARB, repeat labs in 2 weeks (6%, 17 Votes)

Total Voters: 261

Start Date: August 23, 2022 @ 10:28 PM
End Date: No Expiry

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