WBR1123
| Author | [[PageAuthor::Mohamed Moubarak, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Primary Care Office |
| Sub Category | SubCategory::Endocrine, SubCategory::Endocrine |
| Prompt | [[Prompt::A 35 year-old female comes to your office for follow up after being diagnosed with type 2 diabetes mellitus 1 month ago. She has been following a diet and exercise beside her metformin as an oral hypoglycemic therapy. The patient is hypertensive with blood pressure 160/90 mmHg on beta blockers, and smokes ½ pack per day for 10 years. Her labs have been sent to your office and shows:
In addition to diet, exercise, and smoking cessation, which of the following would have the greatest effect in reducing her cholesterol?]] |
| Answer A | AnswerA::Controlling her blood pressure |
| Answer A Explanation | [[AnswerAExp::Incorrect
Controlling blood pressure has no known direct effect on lipid profile]] |
| Answer B | AnswerB::Controlling her diabetes mellitus |
| Answer B Explanation | [[AnswerBExp::Correct
By controlling her diabetes mellitus, will lowering LDL and triglyceride levels and, therefore, decreasing total cholesterol]] |
| Answer C | AnswerC::Adding alcoholic beverages twice per day |
| Answer C Explanation | [[AnswerCExp::Incorrect
Alcohol cannot be used as main line in the treatment of high lipid profile]] |
| Answer D | AnswerD::Improving her sleeping habits |
| Answer D Explanation | [[AnswerDExp::Incorrect
Sleeping will not reduce her lipid profile.]] |
| Answer E | AnswerE::Adding thyroid hormone to her medications. |
| Answer E Explanation | [[AnswerEExp::Incorrect
The patient has no symptoms of hypothyroidism, and although thyroid hormone helps reducing the lipid level, it shouldn’t be used unless there are symptoms.]] |
| Right Answer | RightAnswer::B |
| Explanation | [[Explanation::Diabetes mellitus control would positively affect the lipid profile by lowering LDL and triglyceride levels and, therefore, decreasing total cholesterol Educational Objective: |
| Approved | Approved::No |
| Keyword | [[WBRKeyword::Diabetes mellitus]], [[WBRKeyword::Hypercholesterolemia]] |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |