A 22-Year-Old Man Comes to the Emergency Department with Abdominal

question 345

Multiple Choice

A 22-year-old man comes to the emergency department with abdominal pain and vomiting.  His symptoms began acutely 24 hours ago with nausea and decreased appetite.  His medical history is unremarkable.  The patient drinks 3-4 beers a week and does not use tobacco or illicit drugs.  BMI is 37 kg/m².  Physical examination is notable for moderate epigastric tenderness with decreased bowel sounds but no rebound tenderness, guarding, or abdominal rigidity.  Fasting laboratory studies show a serum triglyceride concentration of 1,500 mg/dL (normal: <200 mg/dL) .  Once the patient has been medically stabilized, which of the following medications would be most helpful in preventing recurrences of his condition?

• A)Atorvastatin
• B)Cholestyramine
• C)Ezetimibe
• D)Fenofibrate
• E)Niacin
• F)Omega-3 fatty acids

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Definitions:

Antisocial Behavior

Actions that harm or lack consideration for the well-being of others, often violating social norms and laws.

Elaborate Pretend Play

A complex form of pretend play in which children create and act out scenarios, often involving role-play and imaginative use of objects.

Creativity

The ability to generate novel solutions to problems; a trait characterized by flexibility, ingenuity, and originality.

Peers

Individuals of similar age or status, especially other children or adolescents who from a child's social group.