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A 35-Year-Old Patient Presents to the Emergency Department Complaining of an Episode

Question 3

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A 35-year-old patient presents to the emergency department complaining of an episode of midsternal chest pain last evening that persisted for 2 hrs. He began to feel nauseous after dinner and went to bed early. He was awoken in the middle of the night with a "squeezing" feeling in his chest. He states the pain was a 6/10. He sat upright until the pain finally decreased. At present, the pain is 4/10. What other findings would support a diagnosis of familial hypercholesterolemia?


A) A history of cigarette smoking for 20 yrs
B) Abnormal electrocardiogram (EKG) findings
C) Presence of xanthelasmata under both eyelids
D) Reported 30 lb weight gain in 2 months

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