<prompt> A young male patient presents with LDL 600 mgdl, triglycerides 160 mgdl. What would be the most likely finding on physical examination -Tendon xanthomaLipemiaretinalisEruptive tuberous xanthomasXanthelesma  <response>: Xanthoma tendinosum also tendon xanthoma or tendinous xanthoma is clinically characterized by papules and nodules found in the tendons of the hands, feet, and heel. Also associated with familial hypercholesterolemia FH Tendon xanthomas are associated with type II hyperlipidemia, chronic biliary tract obstruction, primary biliary cirrhosis and the rare metabolic disease cerebrotendineous xanthomatosis. Palmar xanthomata and tuberoeruptive xanthomata over knees and elbows occur in type III hyperlipidemia Ref Davidson 23rd edition pg 981 