Reference no: EM133626684

Question 

A 45-year-old woman presents to your office for an "annual physical examination." She reports that she is very healthy and has no specific complaints. Her past medical history is significant for seasonal allergies and well-controlled, mild, intermittent asthma. She is married and has two children via normal spontaneous vaginal delivery without complication. She takes a multivitamin daily and antihistamines (as needed) and a puff of an albuterol inhaler on occasion. Her family history is significant for hypertension and type 2 diabetes mellitus in her father, depression in her mother and sister, and breast cancer diagnosed in her maternal grandmother at age 72. The patient is married and monogamous, gets regular exercise, and does not smoke cigarettes, drink alcohol, or use illicit drugs. On examination, her blood pressure is 129/79 mm Hg, pulse is 74 beats/min and regular, height is 67 inches, weight is 152 pounds, body mass index is 23.8 kg/m2, and abdominal waist circumference is 32 inches. Her physical examination is unremarkable.