A 58-Year-Old Man Is Hospitalized Due to Sudden Onset of Chest

question 173

Multiple Choice

A 58-year-old man is hospitalized due to sudden onset of chest pain.  Blood pressure is 160/110 mm Hg and pulse is 90/min.  BMI is 26.9 kg/m².  A baseline ECG shows nonspecific ST-segment and T-wave abnormalities, and serial troponin measurements are normal.  The patient's fasting plasma glucose level is 160 mg/dL, although he has not been diagnosed previously with diabetes mellitus.  Serum triglyceride level is elevated, and the HDL level is low.  Which of the following additional findings would be most suggestive of increased insulin resistance in this patient?

• A)Decreased hepatic glucose production
• B)Elevated LDL level
• C)High urine ketone concentration
• D)Increased glycogen stores in skeletal muscles
• E)Increased waist circumference

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Definitions:

Operant Conditioning

A method of learning that employs rewards and punishments for behavior.

Operant Conditioning

An educational method where the intensity of a behavior is adjusted by rewards or consequences.

Vicarious Learning

Learning that occurs by observing the actions and outcomes of others’ behavior, rather than through direct experience.

Rewarded

Given something, usually of value or significance, in recognition of service, effort, or achievement.