An adult client is 75 pounds over the ideal weight, eats a diet high in carbohydrates, and drinks 3–4 alcoholic beverages daily. Which pattern of dyslipidemia most likely fits all the findings and behaviors demonstrated by this client?
1. Elevated VLDL, triglycerides, and cholesterol; glucose intolerance
2. Elevated chylomicrons, normal cholesterol, triglycerides more than three times normal
3. Elevated LDL, VLDL, total cholesterol, chylomicrons; triglycerides more than three times normal
4. Elevated LDL and total cholesterol, normal VLDL and triglycerides
Correct Answer: 1
Rationale 1: These alterations represent endogenous dyslipidemia (type IV), which is common in middle-aged adults and associated with obesity and with high alcohol and carbohydrate intake.
Rationale 2: These alterations represent exogenous hyperlipidemia (type I), which usually occurs in childhood.
Rationale 3: These alterations represent type V hyperlipidemia.
Rationale 4: These alterations represent familial hyperlipdemia (type IIa).
Global Rationale: These alterations represent endogenous dyslipidemia (type IV), which is common in middle-aged adults and associated with obesity and with high alcohol and carbohydrate intake. The other options are indicative of exogenous hyperlipidemia (type I), which usually occurs in childhood; type V hyperlipidemia; and familial hyperlipdemia (type IIa).
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