nbm3 - krishna07

[ArchivalUser]

43-year-old man comes to the physician for evaluation and management of cardiac risk factors 8 weeks after sustaining a myocardial infarction. He takes aspirin and metoprolol daily, and he does not smoke cigarettes. His father and brother both had myocardial infarctions before the age of 50 years; their serum cholesterol levels are unknown. There is no family history of diabetes mellitus. He weighs 86 kg (190 lb) and is 180 cm (71 in) tall. His blood pressure is 130/70 mm Hg, pulse is 68/min, and respirations are 14/min. Two years ago, his serum cholesterol level was 245 mg/dL. Fasting serum glucose level is 88 mg/dL. Which of the following is the most appropriate next step to evaluate his cardiac risk factors?
A ) Random measurements of serum cholesterol level
B ) Measurement of fasting serum cholesterol level only
C ) Fasting serum lipid studies only
D ) Oral glucose tolerance test and fasting serum lipid studies
E ) Oral glucose tolerance test and measurement

[ArchivalUser]

C ) Fasting serum lipid studies only


(since his fasting serum glucose is normal here.......

"FASTING lipid levels" are needed as food intake itself raises serum triglyceride level falsely)