A 31-Year-Old Caucasian Female Comes in for a Usual Check-Up

A 31-year-old Caucasian female comes in for a usual check-up. You detect multiple subcutaneous lumps that appear to be Achilles tendons. Her father died of a heart attack when she was 35 years old, and her mother had rheumatoid arthritis. Her aunt was 55 years old when she was diagnosed with colon cancer. 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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