A 54 year old man visited his physician for a regular checkup. He has a long history of type 2 diabetes, well controlled with oral therapy. He is compliant with his treatment and regular physical checkups. His last checkup 6 months ago was completely normal for physical and laboratory examination. He smokes one pack of cigarettes for 20 years and drink one cup of wine daily. http://medical-usmle.com/repeated-usmle-questions-59