全英版每日一题15充血性心力衰竭糖尿病

分享一篇好文，改变他人一生。

本音频包括英文版题目朗读、中文版题目翻译及解析以及本题所涉及的医学英语语言知识讲解！

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全英版每日一题15

A63-year-oldmalewithahistoryofinsulin-dependentdiabetesmellitusandnewlydiagnosedcongestiveheartfailureisbroughttohisphysician’sofficewithgeneralizedweakness,sweatingandshaking.Afingerstickbloodglucoseischeckedandfoundtobe8.Thepatientimproveswithglucoseadministration.Whatmedicationdidthispatientmostlikelyrecentlystart?

A.Spironolactone

B.Eplerenone

C.Losartan

D.Atenolol

（图片来源：网络）

Thispatientpresentswithclassicsignsofhypoglycemia(weakness,shaking,diaphoresis).Oneexplanationcouldbethathetooktoomuchinsulinorskippedamealwhiletakinginsulin.Anothercouldbethathelikelyhasstartedsomenewmedicationswithhisnewdiagnosisofcongestiveheartfailure.Beta-blockersarecertainlyhelpfulintreatingcongestiveheartfailure,buttheyareunfortunatelytoblameinthisscenario.Beta-receptorsarenotonlylocatedintheheartandvasculature,buttheyarealsointhepancreas.Thus,thisdrugclasscancauseproblemsforthosealreadypronetobloodglucosederangements.

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