Audio Qbank – Q15 – A 19F with high cholesterol

 

A 19-year-old woman presents to the GP concerned about a yellowish nodule over her left Achilles tendon. Biopsy shows dermal foamy histiocytes. Her serum total cholesterol concentration is 420 mg/dL. A serum lipoprotein electrophoresis is performed and shows a high fraction of LDL. Which of the following is the most likely mechanism for this patient’s disorder?

  Absence of hepatic LDL receptors
  Deficiency of apolipoprotein C-II
  Deficiency of hepatic LDL receptors
  Deficiency of lipoprotein lipase
  Increased hepatic production of VLDL

 

Cut-to-the-chase Answer (0:51):
HY USMLE Answer (4:42):