Exam Content You are an advanced practice nurse at a

Jan is an active and physically fit woman in her mid-forties. As a former competitive college rower, she enjoys challenging herself with vigorous training sessions. Over the past year, Jan has become more and more engaged in CrossFit training and has even considered signing up for a senior’s competition. She is feeling very encouraged by how her body still responds to training and has felt motivated to eat a nutritious diet. As part of Jan’s training regimen, she also is taking some basic supplements including a multivitamin, whey protein, and creatine monohydrate. During a recent routine annual physical exam and checkup, Jan’s primary care provider noted her improved fitness level. Her bodyweight was a few pounds heavier than from the previous year, but this was clearly from added muscle mass. Her blood pressure and heart rate were typical of a patient 15 years younger. Jan shared that CrossFit training was comprised of a variety of exercises including high intensity interval training, Olympic weightlifting, aerobic exercises, and a whole range of related exercises. Jan had joined a CrossFit gym near her home and was thinking about competing in a competition that was coming up in about six months. After finishing with his physical exam, Jan’s provider reviewed her blood work. Overall, her blood parameters seemed to be normal. Although her total cholesterol and LDS levels were on the high end (total cholesterol 205 mg/dL; LDS 175 mg/dL), her HDL values were above average (59

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