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Review Question - QID 214558

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QID 214558 (Type "214558" in App Search)
A 36-year-old woman presents to her primary care physician for her routine visit. She reports otherwise feeling well. She has a medical history of hypertension, hyperlipidemia, and type 2 diabetes. She smokes 1/2 pack of cigarettes daily and denies drinking alcohol. Her blood pressure is 119/80 mmHg, pulse is 85/min, and respirations are 16/min. Her body mass index is 35 kg/m^2. Physical examination is unremarkable. Which of the following is the most significant predictor of an adverse cardiovascular outcome?