12-27-2008, 01:38 AM
A 47-year-old woman comes for a routine health
maintenance
examination. She has a 10-year history of type 2
diabetes mellitus that is
well controlled with an oral hypoglycemic agent. Her
mother died of a
myocardial infarction at the age of 38 years. The
patient weighs 82 kg
(180 lb) and is 163 cm (64 in) tall. Her blood
pressure is 150/95 mm
Hg. Examination shows multiple small skin tags below
the eyebrows and
on the nose and eyelids. Which of the following is
the most appropriate
next step in diagnosis?
A
) Measurement of serum follicle-stimulating hormone
level
B
) Serum lipid studies
C
) 24-Hour urine collection for measurement of
creatinine clearance
D
) X-ray film of the chest
E
) ECG
F
) No further studies indicated