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April 12, 2024

A 65-year-old Alaskan Native woman with a history of type 2 diabetes mellitus and hypertension presents for a wellness exam

A 65-year-old Alaskan Native woman with a history of type 2 diabetes mellitus and hypertension presents for a wellness exam. She does not have any complaints, and the review of systems is negative. The patient states she has been taking her blood pressure and diabetes medications as prescribed. When discussing her social history, she reveals that she has been drinking 4 to 5 glasses of wine daily. Her vital signs include blood pressure 155/92 mm Hg, heart rate 71 bpm, respiratory rate 12 breaths/min, and temperature 98 °F (36.7 °C). Laboratory results are pending. Which of the following factors is most likely to affect this patient’s level of alcohol use? A. Easy access to alcohol in the community B. Higher rates of personality disorders C. Decreased likelihood of ADH1B, ADH1C, and ALDH2 alleles D. Genetic predisposition to crave alcohol

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