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1;2;29 - samomcos - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: 1;2;29 - samomcos (/showthread.php?tid=502776) |
1;2;29 - samomcos - ArchivalUser - 04-28-2010 29. A 52-year-old woman with alcoholism comes to the physician after a serum cholesterol level of 290 mg/dL was found on a routine screening. She drinks a pint of vodka daily. She takes captopril for hypertension and glyburide for type 2 diabetes mellitus. She also has intermittent episodes of gout. Fasting serum studies show: Total cholesterol 252 mg/dL HDL-cholesterol 80 mg/dL Triglycerides 300 mg/dL Glucose 118 mg/dL Thyroid-stimulating hormone 4.5 μU/mL Which of the following is the most appropriate next step in management? A ) Alcohol cessation B ) Better control of diabetes C ) Switch from captopril to calcium-channel blocking agent therapy D ) Gemfibrozil therapy E ) Thyroid replacement therapy 0 - ArchivalUser - 04-28-2010 dd |