A 9-Year-Old Boy Was Referred by His Dermatologist for a Lipid

question 1

Multiple Choice

A 9-year-old boy was referred by his dermatologist for a lipid evaluation after the boy developed what appeared to be a raised yellowish rash over his palms and elbows.The boy had no previous history of heart problems and no family history of any coronary disorders.However,when he was 8,he did have two acute attacks of pancreatitis and abdominal pain.His lipid workup is as follows (specimen was a fasting blood draw) : triglyceride 3200 mg/dL (normal <200 mg/dL) ,total cholesterol 190 mg/dL (normal <200 mg/dL) ,glucose 160 mg/dL (normal 60 to 110 mg/dL) .His HDL concentration was in normal range,but LDL was elevated.Specimen was grossly lipemic.What is the likely cause of these symptoms?

• A) Lipoprotein lipase deficiency
• B) Familial hypercholesterolemia
• C) Tangier disease
• D) Genetic deficiency of LDL

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Definitions:

Obesity

A medical condition where excess body fat accumulates to an extent that may have a negative effect on health.

Asthma

A chronic disease of the airways that makes breathing difficult by causing inflammation and narrowing of the bronchial tubes.

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Activities involving organized groups competing against each other according to set rules, emphasizing teamwork, strategy, and physical exertion.

Identical Twins

Twins who develop from a single fertilized egg that splits into two, sharing the same genetic material.