Thursday, November 23, 2017

Repeated USMLE Questions Step 2 CK- 345

A 46 year old woman with systemic lupus erythematosus presents to the clinic for follow up. She takes prednisone daily for 3 months. Her condition is stable and she has no complaints since her last visit 3 months ago. She smokes a pack of cigarette daily for 15 years. She said that she is not faithful on her diet and exercise program.

On physical examination, her pulse is 84/min; blood pressure is 140/90, no cardiac or pulmonary abnormalities and no organomegaly.

What is the most appropriate lab test you should order on this visit?

A- Blood glucose and serum lipids

B- Serum thyroid stimulating hormone

C- Blood urea nitrogen and serum creatinine

D- Serum cortisol


This patient has been taking prednisone daily for 3 months. Blood glucose and serum lipids need to be checked regularly in all patients who use corticosteroids as a regular treatment.

The correct answer is A

1 comment:

  1. When one suffers from type 2 diabetes, the body does not produce insulin in adequate quantities, or the body cells do not react to insulin, in a condition known as insulin resistance. blood glucose Gestational diabetes surfaces in some women during their pregnancies.