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Which of the following sets of additional laboratory findings in serum is most likely in this patient? A 48-year-old man comes to the physician because he is concerned about his weight. He is 178 cm (5 ft 10 in) tall and weighs 91 kg (200 lb); BMI is 29 kg/m2. His waist circumference is 103 cm (41 in). His blood pressure is 140/90 mm Hg. Physical examination shows a protuberant abdomen. Laboratory studies show fasting serum glucose and insulin concentrations that are increased and remain increased 2 hours after the patient receives 75 g of oral glucose.





A. A
B. B
C. C
D. D
E. E
F. F

This question is part of NBME 13 Section 4 (qst 1-50)
Asked by Chachelly, Last updated: Jun 29, 2020

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2 Answers

Carice Snow

I am a well trend Motivational speaker at California.

Carice Snow, Motivator, MA, California

Answered May 22, 2019

The correct answer is option C From the scenario described above, we can tell that this client has diabetes as insulin levels and glucose level remain high after 2 hours of administration. This shows the cells in the body are resistant to insulin.

Since glucose remains high in the body, and it is not taken up by cells, it is converted to fatty acids that are stored as triglycerides in fatty tissues (adipose tissues) in the body. Therefore, it is expected that triglycerides and free fatty acid levels will be high in this client. Hope this helps

 

John Smith

John Smith

Answered Apr 26, 2017

C
 

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