Repeated USMLE Questions Step 2 CK- 410




A 46 year old woman with systemic lupus erythematosus presents to the clinic for follow up. She takes prednisone daily for 3 months. Her condition is stable and she has no complaints since her last visit 3 months ago. She smokes a pack of cigarette daily for 15 years. She said that she is not faithful on her diet and exercise program.

On physical examination, her pulse is 84/min; blood pressure is 140/90, no cardiac or pulmonary abnormalities and no organomegaly.

What is the most appropriate lab test you should order on this visit?

A- Blood glucose and serum lipids

B- Serum thyroid stimulating hormone

C- Blood urea nitrogen and serum creatinine

D- Serum cortisol

Answer: 




This patient has been taking prednisone daily for 3 months. Blood glucose and serum lipids need to be checked regularly in all patients who use corticosteroids as a regular treatment.

The correct answer is A


2 thoughts on “Repeated USMLE Questions Step 2 CK- 410”

  1. Hi Dr Yakudu. Can you please clarify your comment. It is obvious that blood sugar needs to be monitored because, as you said, prednisone is glucogenic which means expected increase in serum glucose.

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