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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#45 (reveal difficulty score)
An asymptomatic 47-year-old man comes for a ...
Serum lipid studies while fasting ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: inc Cardio

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submitted by โˆ—kingfriday(45)
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The only variable that changes with diet is the triglycerides (goljan)

The formula for total cholesterol:

  • Total = HDL + LDL + VLDL
  • VLDL = TG/5
  • Total = HDL + LDL + TG/5

We need this patient to be fasting to get an appropriate Total cholesterol level.

  • need to do step 1 diet (decrease fats, calories, cholesterol etc.) before moving to step 2 diet (more aggressive diet than step 1)
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submitted by โˆ—step_prep7(71)
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  • Key idea: Abnormal total cholesterol levels should always be followed by fasting LDL levels because treatment is based on LDL and HDL levels/thresholds
https://step-prep.org/tutoring/
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submitted by โˆ—carolebaskin(109)
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Before starting statin therapy, measure LDL levels with FASTING lipid profile!

This person has borderline high cholesterol

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