A 31-Year-Old Caucasian Female Presents to Your Office for Routine

A 31-year-old Caucasian female presents to your office for routine check-up.  You notice several subcutaneous bumps that seem to be attached to Achilles tendons.  Her father died from a heart attack at 35 years old and her mother suffers from rheumatoid arthritis.  Her aunt was diagnosed with colon cancer while 55 years old.  Which of the following is the best initial test in this patient?

A) Blood cholesterol
B) Fasting blood glucose
C) Rheumatoid factor
D) Antinuclear antibodies
E) Fecal occult blood test

Correct Answer:

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