Q.ld: 4191 Prev1ous Next lab Values Notes Calculator Reverse Color Text Zoom A 60-year-old man comes to the office due to erectile dysfunction that has progressed slowly over the last year. He finds it difficult to attain an erection and has noted a decrease in nocturnal erections. Medical history is significant for type 2 diabetes mellitus and benign prostatic hyperplasia. Ophthalmologic evaluation 6 months ago revealed diabetic retinopathy that was treated with photocoagulation. The patient also had a negative treadmill cardiac stress test 4 months ago after presenting with atypical chest discomfort. Current medications include metformin, sitagliptin, rosuvastatin, and doxazosin. Blood pressure is 122/70 mm Hg and pulse is 76/min. Cardiopulmonary examination is unremarkable except for mildly decreased pedal pulses on the right. There is decreased vibration sensation in both feet. Hemoglobin A 1 c measured 2 weeks ago was 8%. The patient requests a prescription for sildenafil. Which of the following is the most important concern in prescribing sildenafil to this patient? o A Diabetic retinopathy o B. Interaction with doxazosin o C. Interaction with metformin o D. Peripheral neuropathy o E. Peripheral vascular disease Submit
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