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MMLU / A 78-year-old woman is admitted to the hospital for replacement of her left knee…

Problem

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question

A 78-year-old woman is admitted to the hospital for replacement of her left knee joint due to degenerative joint disease. She has type 2 diabetes mellitus, a long history of hypertension, and chronic renal failure presumed secondary to diabetes mellitus and hypertension. Reversible causes of renal failure have been excluded. She underwent a tonsillectomy at age 9 years and a laparoscopic cholecystectomy at age 68 years. Serum creatinine concentration on admission was 6.0 mg/dL. Her current therapy includes a low-sodium, low-protein American Diabetes Association (ADA) diet, enalapril, and acetaminophen. She is a retired seamstress. She and her husband live on a farm 90 miles from the nearest dialysis facility. In considering longterm treatment options for this patient, which of the following is the most appropriate factor to consider?

choices

  1. Her eligibility to receive Medicare
  2. Her history of an abdominal operation
  3. Her history of arthritis
  4. Her suitability for home dialysis

subject

professional_medicine

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