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:

Anticommunist Agenda

Policies and activities aimed at combating communism and limiting its spread during the Cold War era.

Character Assassination

The deliberate and sustained effort to damage the reputation or credibility of an individual or organization.

Dean Acheson

A prominent American statesman and lawyer who served as the United States Secretary of State under President Harry S. Truman, playing a central role in defining American foreign policy during the Cold War.

Cold War

The Cold War, spanning from the conclusion of World War II until the collapse of the Soviet Union in 1991, involved a prolonged state of political and military tension between the United States along with its allies and the Soviet Union, marked by aggressive rhetoric, espionage, and acts other than direct military conflict.