HY USMLE Q #853 – Biochemistry

A 43-year-old woman comes to the physician for a 2-week history of increased thirst and urination. BMI is 40. Serum glucose is 700 mg/dL. Which of the following combinations of findings is most likely to be seen in this patient?

  ↑ Ketones; ↑ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↑ Ketones; ↑ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↑ Ketones; ↑ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↑ Ketones; ↑ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↑ Ketones; ↓ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↑ Ketones; ↓ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↑ Ketones; ↓ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↑ Ketones; ↓ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↓ Ketones; ↑ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↓ Ketones; ↑ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↓ Ketones; ↑ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↓ Ketones; ↑ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↓ Ketones; ↓ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase
  ↓ Ketones; ↓ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↓ Ketones; ↓ Insulin; ↑ Lipoprotein lipase; ↓ Hormone-sensitive lipase
  ↓ Ketones; ↓ Insulin; ↓ Lipoprotein lipase; ↑ Hormone-sensitive lipase