🏥 USMLE Exam Prep

A 58-year-old man with type 2 diabetes mellitus and a history of cardiovascular disease has an HbA1c of 8.2% despite being on metformin and glipizide. His BMI is 31 kg/m². His eGFR is 70 mL/min/1.73m². Which of the following medications would be MOST appropriate to add to his regimen to improve glycemic control and reduce cardiovascular risk?

A Pioglitazone
B Sitagliptin
C Liraglutide
D Insulin glargine

✓ Correct Answer: Option C

Liraglutide, a GLP-1 receptor agonist, has demonstrated cardiovascular benefit in patients with type 2 diabetes and established cardiovascular disease, in addition to improving glycemic control and promoting weight loss. It is preferred over other options for this patient profile.

💡 Why is C) the correct answer?

The correct answer to the question "A 58-year-old man with type 2 diabetes mellitus and a history of cardiovascular disease has an HbA1c of 8.2% despite being on metformin and glipizide. His BMI is 31 kg/m². His eGFR is 70 mL/min/1.73m². Which of the following medications would be MOST appropriate to add to his regimen to improve glycemic control and reduce cardiovascular risk?" is Option C: Liraglutide.

The other options — A) Pioglitazone, B) Sitagliptin, D) Insulin glargine — are incorrect for this USMLE Exam Prep question. As explained above: Liraglutide, a GLP-1 receptor agonist, has demonstrated cardiovascular benefit in patients with type 2 diabetes and established cardiovascular disease, in addition to improving glycemic control and p…

📚 About This USMLE Exam Prep Practice Question

This 3-level USMLE Exam Prep question from the Step 2 CK – Clinical Knowledge topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free USMLE Exam Prep practice test or use flashcards for spaced repetition review.

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