Dyslipidemia: Abnormal Lipid Metabolism

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Questions and Answers

Which of the following is characteristic of dyslipidemia?

  • Decreases in triglyceride levels
  • Decreases in total cholesterol levels
  • Increases in high-density lipoprotein cholesterol levels
  • Increases in low-density lipoprotein cholesterol levels (correct)

Which lipoprotein is NOT mentioned as part of plasma lipoproteins?

  • Chylomicrons
  • Very low-density lipoprotein (VLDL)
  • Moderate-density lipoprotein (MDL) (correct)
  • Lipoprotein-a (Lp-a)

What is the threshold for total cholesterol (TC) to be considered dyslipidemia according to the WHO?

  • 250 mg/dl
  • 300 mg/dl
  • 200 mg/dl (correct)
  • 150 mg/dl

What is the atherogenic index (AI) value above which dyslipidemia is defined according to the WHO?

<p>5 (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of lipoproteins?

<p>They are hydrophilic molecules. (D)</p> Signup and view all the answers

Which of the following HDL-C levels indicates dyslipidemia in women according to the WHO?

<p>35 mg/dl (C)</p> Signup and view all the answers

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Study Notes

Dyslipidemia: Definition and Characteristics

  • A metabolic disease characterized by abnormal lipid metabolism
  • Hallmarked by elevated levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG), and decreased levels of high-density lipoprotein cholesterol (HDL-C)

Lipid Transport and Metabolism

  • Lipids are transported by lipoproteins, complex particles consisting of a central core of cholesterol esters and triglycerides, surrounded by free cholesterol, apolipoproteins, and phospholipids
  • Plasma lipoproteins include chylomicrons, chylomicron remnants, very low-density lipoprotein (VLDL), intermediate-density lipoprotein (IDL), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), and lipoprotein-a (Lp-a)

World Health Organization (WHO) Definition

  • Dyslipidemia is defined as the presence of any of the following conditions:
    • Total cholesterol (TC) > 200 mg/dl (> 5.2 mmol/l)
    • Triglyceride (TG) > 150 mg/dl (> 1.7 mmol/l)
    • Low-density lipoprotein cholesterol (LDL-C) > 135 mg/dl (> 3.5 mmol/l)
    • High-density lipoprotein cholesterol (HDL-C) < 35 mg/dl (< 0.9 mmol/l in men) or < 40 mg/dl (< 1.0 mmol/l in women)
    • Atherogenic index (AI) > 5

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