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Old 09-18-2012
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Arrow Gyrus Daily Questions; Internal Medicine #5

Which of the following patients meets criteria for the diagnosis of the metabolic syndrome?

A. A man with waist circumference of 110 cm, well controlled diabetes mellitus with fasting plasma glucose of 98 mg/dL, and blood pressure of 140/75 mmHg
B. A woman with triglycerides of 180 mg/dL, waist circumference of 75 cm, and polycystic ovary syndrome
C. A man with nonalcoholic liver disease, obstructive sleep apnea, and blood pressure of 135/90 mmHg
D. A woman with high-density lipoprotein (HDL) of 54 mg/dL, blood pressure of 125/80 mmHg, and fasting plasma glucose of 85 mg/dL
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Old 09-18-2012
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Would go with A, as this pt. maximum score is 2 while others score 1 on metabolic syndrome criteria. But still not sure
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Old 09-18-2012
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A and C are both nice
A because he has 2 criteria and 1 is already being controlled

C because in order to have nonalcoholic liver disease and Obstructive Sleep apnea you have to be a fat ass, also his blood pressure is high and they dont mention treatment..

Ill pick C just to add some debate
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Old 09-20-2012
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The answer is A.

A. A man with waist circumference of 110 cm, wellcontrolled diabetes mellitus with fasting plasma glucose of 98 mg/dL, and blood pressure of 140/75 mmHg

The metabolic syndrome (according to the NCET:ATP III guidelines)

is defined by three or more of the following:

central obesity (men >102 cm; women >88 cm),
hypertriglyceridemia (≥150 mg/dL or on specific medication),
low HDL cholesterol (men <40 mg/dL; women <50 mg/dL),
hypertension (systolic ≥130 mmHg or diastolic ≥85 mmHg, or on specific medication), and
hyperglycemia (fasting plasma glucose ≥100 mg/dL, or previous diagnosis of diabetes mellitus, or on specific medication).

The International Diabetes Foundation also has criteria that further subdivide the cut-offsnof waist circumference based on ethnicity. Patients with the metabolic syndrome are at greater risk than patients without the syndrome for developing conditions such as atherosclerotic cardiovascular disease, type 2 diabetes mellitus, peripheral vascular disease, sleep apnea, and polycystic ovary syndrome. The presence of one of the criteria should prompt the clinician to search for other criteria and treat the conditions as necessary.


Last edited by cingulate.gyrus; 09-20-2012 at 03:36 AM. Reason: modification
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