Choose a pharmacological agent that has been on the market

Lab Values A 67-year-old female with hypertension, diabetes, and osteoporosis presents for an annual examination. She takes lisinopril, metformin, vitamin D, and raloxifene. She has a 30-pack per year history of tobacco use, drinks 3-4 glasses of wine each evening, and denies illicit drug use. She has fallen twice this year but sustained no significant injury. The patient’s blood pressure is 130/80 mmHg, heart rate is 78 bpm, and respiratory rate is 18/min. Examination reveals a visual acuity of 20/20 corrected. Lungs have scattered wheezes and rhonchi, and the cardiovascular exam is normal. Her gait is normal, and she can tandem walk. Strength testing reveals good strength and symmetric tone in all muscle groups. Finger-to-nose is intact, and she has a negative Romberg test. Orthostatic testing is negative. Which of the following statements is correct regarding this patient? A. She is at increased risk for falls. B. All community-dwelling adults over age 65 should undergo multifactorial risk assessment for falls. c. All community-dwelling adults over age 65 should take vitamin D supplements, which have a moderate benefit for fall prevention. D. Holter monitoring is recommended for individuals over age 65 who have had >1 fall in the past year.

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