Medscape Now! Hot Topics in Family Medicine May 2023 Part 2

To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

1. You are a member of a healthcare team managing a 56-year-old male patient receiving treatment for type 2 diabetes. He has heard that the cost of his medication may be increasing and wants to know the exact price going forward.
   How would you respond to this patient?
   Say you will use a pricing tool that will give him the exact, confirmed cost going forward
   Tell him if prices do go up, there is nothing you can do to support him
   Ask if he has any specific concerns around pricing and direct him to resources that may help
   Say that you will discuss this matter when the prices actually change
2. A recent study by Cho and colleagues, published online May 3, 2023, in Journal of the American Geriatrics Society, explored the relationship between internet usage and dementia risk among older adults.
   While of the following was a key finding of the study?
   Dementia risk was reduced by ~50% in regular vs non-regular users of the internet
   Being a regular internet user for long periods of time in late adulthood is associated with detrimental cognitive effects
   While dementia risk was marginally reduced in some older adults, the majority had an increased risk associated with regular internet use
   The difference in dementia risk between regular and non-regular users varied significantly by ethnicity and gender
3. You are a member of the healthcare team managing a 38-year-old patient struggling with obesity. She explains that her weight has increased significantly since starting a new, stressful job a year ago. She finds that food helps her to cope with the daily stress of it all and expresses feelings of upset about her current weight. She’s tried some commercial weight loss programs but always ends up putting the weight back on.
   What would you advise this patient?
   She needs to decrease her food intake by 1500 calories per day and move more often
   Obesity is difficult to address and she should persist with the commercial weight loss programs, as these are her best options
   Obesity is a treatable disease and she may benefit from multidisciplinary care that addresses the biological and psychological factors contributing to weigh gain
   If she were to quit her new job, her stress levels and associated eating habits would go away; she would probably return to her baseline weight in 3 months