NBME Explain

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NBME Explain

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7 Posts

dr_jojo

03/10/07 - 10:51 AM

An asymptomatic 47-year-old man comes for a preemployment examination. He has never been hospitalized. He is a computer programmer, and he plays handball once weekly. His maternal grandmother had type 2 diabetes mellitus, and a paternal uncle had heart disease. The patient's blood pressure is 126/80 mm Hg. Examination shows no abnormalities. His total serum cholesterol level is 225 mg/dL. Which of the following is the most appropriate next step in management?

A
) Step 2 American Heart Association cardiac diet

B
) Serum lipid studies while fasting

C
) Exercise stress test

D
) Oral cholestyramine and niacin therapy

E
) Oral pravastatin therapy at bedtime

Geroo
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03/10/07 - 11:05 AM

Serum lipid studies while fasting

robin082006
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03/10/07 - 11:06 AM

Serum lipid studies while fasting

There is a similar q in qbook

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dr_jojo

03/10/07 - 11:39 AM

ok

what is the reccomendations regarding total cholesterol /TG

when we start screening , value ,......

(i know LDL levels )

eaguin
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03/12/07 - 08:58 AM

fongch
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04/19/07 - 09:00 PM

I believe measurement of serum lipid level does not require fasting.
I choose A.

usmle12
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05/07/07 - 08:55 PM

well its not based on ones belief its based on atp guideline and for that 9 to 12 hours of fasting is required for serum lipid........... wink

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