The MKSAP Challenge
A 62-year-old woman is evaluated because of abnormal results on chest radiograph. She smokes one pack of cigarettes per day, with a 50-pack-year history. She has a morning cough productive of small amounts of yellow sputum. She has hypertension, for which she takes metoprolol, and type 2 diabetes mellitus, which is managed with diet and metformin therapy.
Her body mass index is 30. Her blood pressure is 145/90 mm Hg. Chest radiograph shows a 1.5 cm nodule in the left upper lobe; no previous radiographs are available for comparison.
Which of the following should be measured before sending this patient for a positron emission tomography scan to evaluate the nodule?
A. Serum sodium.
B. Blood pressure.
C. Serum creatinine.
D. Serum glucose.
Internist Archives Quick Links
Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health, 2nd Edition
This new edition reflects recent clinical and social changes and continues to present the important issues facing practitioners and their LGBT patients. Read more about the Guide. Also see ACP’s recent policy position paper on LGBT health disparities.
Join Us in Washington, DC for the Most Comprehensive Meeting in Internal Medicine
Register now and enjoy:
Discounted rates, the best national faculty, a wealth of clinical and practice management topics and hands-on sessions! Learn more about the meeting.