Question

Consider the following: 1. Alcohol excess 2. Hypothyroidism 3. Thiazide therapy 4. Chronic renal failure. Hypertriglyceridaemia may be a feature of

• A. 1, 2 and 3
• B. 2, 3 and 4
• C. 1, 3 and 4
• D. 1, 2 and 4

Hint:

Think about which of the four conditions mainly raises cholesterol rather than triglycerides.

Answer 1

The Correct Option is C

This question tests recognition of the secondary causes of raised triglycerides.

1. 1, 2 and 3: wrong, because it drags in hypothyroidism, which mainly raises cholesterol rather than triglycerides.
2. 2, 3 and 4: wrong for the same reason - hypothyroidism does not belong on this list.
3. 1, 3 and 4: correct. A simple way to remember triglyceride-raising causes is alcohol, obesity/diabetes, azotaemia (renal failure), and thiazides - three of those four match this option exactly.
4. 1, 2 and 4: wrong, because although it correctly keeps alcohol and renal failure, it swaps in hypothyroidism instead of thiazide therapy.

Correct answer: 1, 3 and 4 - alcohol excess, thiazide therapy, and chronic renal failure.