#february2020mccqe1
A 45-year-old woman comes to the physician because of persistent blurred vision for the past month. She also reports three episodes of Candida vaginitis during the past year. She is 167 cm (66 in) tall, and weighs 84 kg (185 lb). Her blood pressure is 130/84 mm Hg. Funduscopic examination reveals dot retinal hemorrhages and increased tortuosity of retinal veins. Her family history is significant for obesity, coronary artery disease, and type 2 diabetes mellitus in several relatives. Examination reveals no significant abnormalities. Dipstick urinalysis is normal. Which of the following is the most appropriate next step in diagnosis?
(A) Blood test for C-peptide
(B) Fasting blood glucose level
(C) Glucose tolerance test
(D) Glycosylated hemoglobin
(E) Urine glucose levels
(F) Urine protein
A 45-year-old woman comes to the physician because of persistent blurred vision for the past month. She also reports three episodes of Candida vaginitis during the past year. She is 167 cm (66 in) tall, and weighs 84 kg (185 lb). Her blood pressure is 130/84 mm Hg. Funduscopic examination reveals dot retinal hemorrhages and increased tortuosity of retinal veins. Her family history is significant for obesity, coronary artery disease, and type 2 diabetes mellitus in several relatives. Examination reveals no significant abnormalities. Dipstick urinalysis is normal. Which of the following is the most appropriate next step in diagnosis?
(A) Blood test for C-peptide
(B) Fasting blood glucose level
(C) Glucose tolerance test
(D) Glycosylated hemoglobin
(E) Urine glucose levels
(F) Urine protein
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