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Q46: Endocrinology: PLAB/UK(MLA) Exam style question

A 55-year-old diabetic patient with a history of type 2 diabetes mellitus and depression comes to see you. The patient is currently managed with metformin and gliclazide. On examination, the patient has lost sensation in 4 of the 10 points tested on the left foot foot and 5 of the 10 points in the right foot. What is the appropriate management for this patient?

A. Refer to a vascular specialist

B. Increase the frequency of diabetic foot reviews

C. Refer to a diabetic foot center

D. Consider prescribing pregabalin

E. Add clopidogrel and atorvastatin to the treatment plan

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