Metabolic Syndrome

Question 1

Diagnosis: 3 or more of the following…

Glucose Intolerance

Answer 1

fasting glucose >/= 100 mg/dl

Question 2

Diagnosis: 3 or more of the following…

Abdominal Obesity: waist circumference
(men)

Answer 2

greater than 40 inches

Question 3

Diagnosis: 3 or more of the following…

Abdominal Obesity: waist circumference
(women)

Answer 3

greater than 35 inches

Question 4

Diagnosis: 3 or more of the following…

Hypertension

Answer 4

greater than or equal 130 mmHg / greater than or equal 80 mmHg

Question 5

Diagnosis: 3 or more of the following…

High Fasting Triglycerides

Answer 5

greater than or equal to 150 mg/dl
(normal is less than 100)

Question 6

Diagnosis: 3 or more of the following…

Low fasting HDL-C
(men)

Answer 6

less than 40 mg/dl

Question 7

Diagnosis: 3 or more of the following…

Low fasting HDL-C
(women)

Answer 7

less than 50 mg/dl

Question 8

Case Study

Mr. Hawk I Smith is a 42 year old white accountatnt who comes in for a physical exam reluctantly after his wife forces him to do so because his father had a heart attack at age 46 and she is worried he is at risk. He has not had a physical exam in 5 years. He currently walks to work about 10 min each way when the weather is good but takes the buss in the winter and when the weather is bad. His blood pressure at his exam is 138/92 mmHg and pulse is 82 bpm. His ECG showed normal sinus rhythm with occasional PVCs and otherwise normal. His fasting serum total cholesterol is 284 mg/dl , his LDL-C is 154 mg/dl, his HDL is 35 mg/dl, triglycerides 120 mg/dl, and his fasting glucose is 110 mg/dl. His weight is 230 lbs and his height 5,8,, and wast circumference is 41 inches. His serum C-reactive protein (CRP) is 22mg/L. He has never smoked.