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  #1  
Old 05-04-2011
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Biochemistry Lipid profile after cheese burger!

A 29 year old boy was preparing for step 1. He was almost done just revising first aid, became hungry and drove to nearest restaurant and ordered double cheese burger extra large french fries ice cream and red bull.
After about an hour he developed sever abdominal distress, became nauseated and was close to fainting.
upon his arrival to E/R test showed that he was hyperglycemic. his cholesterol levels were slightly elevated.
INSULIN WAS GIVEN AS ADDITIONAL INFO REVEALED THAT HE WAS DIABETIC AND HE RECOVERED QUICKLY.
what is other MOST COMMON associated feature of this pt.?

1) elevated cholesterol with increased LDL
2) elevated cholesterol with decreased LDL
3) elevated triglycerides with increased chylomicrons
4) elevated triglycerides with decreased chylomicrons
5) both cholesterol and triglycerides are elevated
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  #2  
Old 05-04-2011
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First time i'm seeing a 29 year old boy

Most common association with Type 2 Diabetes is increase in cholesterol and triglycerides 5).

I might be wrong, all the lipid profile stuff confuses the crap outta me :sorry:
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Old 05-04-2011
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Quote:
Originally Posted by patelMD View Post
First time i'm seeing a 29 year old boy

Most common association with Type 2 Diabetes is increase in cholesterol and triglycerides 5).

I might be wrong, all the lipid profile stuff confuses the crap outta me :sorry:
when you are preparing for STEPs YOU ARE BOY even you are 50 years old
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  #4  
Old 05-08-2011
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i think its increased triglycerides with decreased chylomicrons
i will go for option 3 and agreee with nevillenic

i mnot sure tell you after seeing biochem booooookk

Last edited by INCOGNITO; 05-08-2011 at 10:38 PM.
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Old 05-08-2011
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I would say its number 5. Diabetics have hypercholestrolemia and hypertryglyceridemia, but im not sure about the chylomicrons.
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Old 05-08-2011
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chylomicrons are dietary, therefore it has to increase following meal
If i have to pick between cholesterol and triglycerides- i might go with triglycerides as hypertriglyceridemia is common with diabetes Type IV i guess
i go with option 3
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Old 05-09-2011
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ya i agree with nevillenic
it means i got ma butt outa biochem now..LOL
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Old 05-18-2011
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I want to point out in this question that in a normal individual, after consuming a diet high in triglycerides.. trigylcerides and chylomicrons will have increased in the blood post pradal.

Obv. from the diet, triglyceride will diffuse in through the intestine into the blood (in form of 2 monoglycerol & 2 FA.. reconstituted in blood as triglyceride), where they will be carried by Chylomicrons. So both should be increased...
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Old 05-18-2011
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LDL and Triglyceride levels are affected after a meal, but HDL levels are not. So if you forgot to fast before you get your blood work done, the HDL level will be accurate but the LDL and Triglyceride will not
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Old 05-19-2011
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ya i checked from book now its OPTION 3

its from kaplan bichem book page number 230..i added a step taker student instead of 20 year old man

the most common type of hyperlipidemias is type V in which pts have elevated triglyceridse and VLDL and chylomicrons IN RESPONSE TO MEAL CONTAINING CARBOHYDRATES AND FATS RESPECTIVELY...
one of important funtion of insulin is to promote lipoprotein lipase activity by increasing transcription of its gene..
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