1. Among PLWH, the percentage of those who are 50 years or older compared with those under 50 is ______.

2. Which of the following is NOT a way to reduce inflammation?

3.

Patient Case - Ms. M:

  • 55-year-old Black woman with HIV on salvage elvitegravir/cobicistat (EVG/c) + darunavir (DRV)
  • ACC/AHA 10-year ASCVD Risk Score: 15.8%
  • Most recent lipid profile: total cholesterol 230 mg/dL, HDL 50 mg/dL, LDL-c 180 mg/dL, triglycerides (TGs) 130 mg/dL.
  • Hypertension (140/90 mm Hg), taking amlodipine 5 mg
  • Hemoglobin A1c: 6.3%
  • Smokes 5 to 8 cigarettes per day
Based on Ms. M's lipid profile, what would be considered a moderate-intensity statin, given her HIV medication regimen, containing Elvitegravir/Cobicistat and Darunavir?

4. What is the most likely explanation of the disparity in the test results?

5. For Ms. M, she started on metformin on the basis of the recent blood tests, which controls her blood glucose levels. How frequently should her blood glucose levels be monitored?

6.

Patient Case - Mr. M

  • 88-year-old man
  • Past medical history: HIV, coronary artery disease, hypertension, diabetes, osteoarthritis
  • Lives independently in a multistory house, with support from his partner who assists with cooking, groceries/shopping, transportation, medications
  • Previously declined formal elder services or additional assistance
  • Seen for geriatric consultation (comes with partner)
  • Walks with walker, slow gait
  • Declines additional services “I’m doing well, I’ll call you if I need you. I know how.”
Which of the following conditions do you suspect in Mr. M?

7. For Mr. M, he has HIV and hypertension controlled on amlodipine. He is also taking metformin and a GLP-1 receptor agonist for diabetes and a moderate-dose statin for hypercholesterolemia. He reports that he has swelling in his ankles, which seems to worsen when he is on his feet for long periods of time. Which of the following medications is most likely to be causing Mr. M's ankle edema?

8. Which one of the following interventions is Mr. M's ankle edema most likely to respond to?

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