Obesity and metabolic syndrome Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 52-year-old man comes to a primary care clinic to establish care for excessive daytime fatigue. Medical history is significant for insomnia for which he takes zolpidem. He does not smoke or drink alcohol. He lives alone and does not know if he snores at night. Family history is significant for acute myocardial infarctions in the patient's father and mother at the ages of 67 and 70, respectively. Vital signs are within normal limits. The patient’s BMI is 36 kg/m². His waist circumference is 35 inches (88.9 cm) and neck circumference is 17 inches (43cm). Physical examination is otherwise unremarkable. Laboratory results are shown below. Which of the following is the next best step in management?

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Evaluate for LDL-cholesterol particle number and size

Stop zolpidem

Evaluate for bariatric surgery

Order polysomnography

Further evaluate for metabolic syndrome