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A 44-Year-Old African-American Woman Visits Her Family Physician for a Physical

Question 10

Multiple Choice

A 44-year-old African-American woman visits her family physician for a physical examination at the urging of her husband. She has no current complaints and is taking no medications. She is allergic to erythromycin. She works as a software developer and lives with her 52 -year-old husband and 12-year-old daughter. She is a nonsmoker and drinks an occasional glass of wine when she and her husband go out to dinner. She is involved in no regular exercise. Her mother is 66 and suffers from type II diabetes, hyperlipidemia, and hypertension and had a myocardial infarction last year. The patient's father died of a stroke last year at the age of 72. On examination, the patient's blood pressure is 155/100 mmHg155 / 100 \mathrm{~mm} \mathrm{Hg} , pulse 84, weight 215lb215 \mathrm{lb} (increased from 180lb3180 \mathrm{lb} 3 years ago) , and height 5ft.7in5 \mathrm{ft} .7 \mathrm{in} . In this patient, during the period of weight gain which one of the following responses would be most likely in her white fat?


A) Increased synthesis of growth hormone
B) Decreased synthesis of leptin
C) Increased release of chylomicrons to the blood
D) Decreased conversion of beige adipocytes to unilocular white adipocytes
E) Increased incorporation of fatty acids into triglycerides

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