A 20-year-old obese female is found to have an abnormal lipid profile. She has total cholesterol 230 mg/dl, LDL- cholesterol 185 mg/dl and TG 180 mg/dl. HDL-cholesterol is 45 mg/dl. She is otherwise healthy and has an unremarkable family history Which of the following will be the best next diagnostic test to order?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. TSH
Before labelling dyslipidaemia as primary, exclude secondary causes, especially hypothyroidism, so TSH is the best next test in a young obese woman with high LDL. HbA1c is part of screening for complications but does not explain an isolated LDL rise; pituitary/GH tests have no clinical clue here.
ليش كل خيار صح أو غلط
-
A
ليش غلط
For an obese patient the cohort's tests for a reversible cause are TSH, urinary free cortisol/ACTH, and genetic testing if obesity is severe; FSH/LH/prolactin is not among them.
✓ Endocrine ✳️.pdf · p. 29 -
B
ليش غلط
For an obese patient the cohort's tests for a reversible cause are TSH, urinary free cortisol/ACTH, and genetic testing if obesity is severe; GH and IGF-1 are not among them.
✓ Endocrine ✳️.pdf · p. 29 -
C
ليش غلط
HbA1c screens for diabetes, which typically raises TG and lowers HDL; her main abnormality is a high LDL (185), which points more to hypothyroidism than to diabetes.
✓ view-material.pdf · p. 22 -
D
ليش صح
Before accepting primary dyslipidemia, exclude secondary causes such as hypothyroidism, and TSH is the screening test for it.
✓ CV Risk factor 4th year 2023 copy.pdf · p. 17
- المصدر
- CV Risk factor 4th year 2023 copy.pdf · p. 17
view-material.pdf · p. 23 - المحاضرة
- Obesity & Lipids · Endocrinology · Module B
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- Endo bank