Tobacco use disorder Quiz: Ace Your Exams
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An 86-year-old man comes to the clinic for a routine physical evaluation. The patient has a history of hypertension, diabetes mellitus, hyperlipidemia, major depressive disorder and chronic back pain. His current medications include metformin, amlodipine, hydrochlorothiazide, escitalopram, atorvastatin and oxycodone as needed. The patient uses illicit drugs including cocaine and has a 30-pack year smoking history. He consumes alcohol with his friends on the weekends. His last drink was two days ago. The patient’s father died of a myocardial infarction at the age of 60, and his uncle died of an acute aortic dissection at the age of 70. Temperature is 98°F (36.6 °C), pulse is 90 bpm, blood pressure is 150/90 mmHg. Abdominal examination reveals a central pulsatile mass. HbA1c level on this visit is 9.0%. Which of the following risk factors places the patient in a high risk category necessitating ultrasonographic screening for this patient’s finding on the abdominal exam?
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