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School of Medicine, UAB
   
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Online CME Courses
The Metabolic Syndrome


Certified for 1 AMA PRA Category 1 Credit


Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation

Release Date: June 5, 2006
Expiration Date: June 5, 2009

TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, clinicians should be able to:
  • Recognize the cardinal features of the metabolic syndrome
  • Become familiar with the various diagnostic criteria for the metabolic syndrome
  • Learn basic management principles for the metabolic syndrome
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SOURCE:
FACULTY:

William T. O'Byrne, MD
General Internist
Albuquerque, New Mexico

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DISCLOSURE:
Dr. O'Byrne has no commercial affiliations to disclose.
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CME PARTICIPATION:
To participate in this program for CME credit, please review the objectives before beginning the program. Take the course, complete the case questions and evaluation before June 5, 2009 to receive CME credit. Your certificate will then be available online. This process should take approximately 60 minutes.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

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DISCLAIMER: 
Dosages, indications, and methods of use of any drug referred to in this online course may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned.

Case 1:

T.D. is a 66 year old female with a past medical history significant for hypertension. She presents to your office for a follow-up visit. Prior to the visit the patient had fasting laboratory tests drawn. During the interview, the patient tells you that she has gained 10 pounds in the past 6 months. She also tells you that she continues to smoke ½ pack of cigarettes per day. She denies any complaints during this visit.

Current Medications: HCTZ, 25 mg daily
Weight: 166# (BMI = 26 kg/m2)
Blood pressure: 148/95
Heart rate: 82 beats/min

Laboratory values:
Sodium 142 meq/L; Glucose 115 mg/dL; Potassium 4.1 meq/L; Total cholesterol 216 mg/dL
Chloride 110 meq/L; LDL Cholesterol 155 mg/dL; Bicarbonate 22 meq/L; HDL Cholesterol 32 mg/dL; BUN 10 mg/dL; Triglycerides 144 mg/dL; Creatinine 0.9 mg/dL

You are concerned that the patient may have developed “syndrome x”, or the metabolic syndrome.

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Case 1, Question 1 of 10

1. Which of the following parameters comprise diagnostic criteria for the metabolic syndrome?

A. Fasting hyperglycemia, body mass index, elevated LDL cholesterol
B. Elevated HDL cholesterol, waist circumference >88cm, Hypertension
C. Hypertension, elevated HDL cholesterol, BMI >30, fasting hyperglycemia
D. Waist circumference >88cm, fasting hyperglycemia, low HDL cholesterol



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