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A female patient presents for her yearly wellness check-up.

A female patient presents for her yearly wellness check-up. Her vital signs are within normal limits with the exception of dyspnea. Her weight is 165 lbs, up 10 lbs from her previous clinic visit 2 weeks prior. Problem list includes diagnoses of obesity, COPD, heart failure, and diabetes without complications. The patient’s A1c noted 9.2 up from 7.2 from previous year wellness exam. Based on the clinical indicators, which of the following medications should be evaluated and addressed during this clinic visit?

A.

Megace and ferrous sulfate

B.

Metformin and methotrexate

C.

NovoLog and Lasix

D.

Wellbutrin and Allegra

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