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- Jul 30, 2001
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So this is REALLY bugging--after getting this question wrong and looking it up, still unsure.
Summary:
58yo overweight white woman with h/o HTN, osteoporosis, GERD, and smoking (quit 3yrs ago). Her cholesterol is 220 (w/ LDL 155 and HDL 42). She comes in with no complaints and physical exam reveals nothing abnormal.
What is the intial therapy?
A. nothing
B. lifestyle changes
C. statin
D. Gemfibrozil
E. Niacin
The QBank response is: She has 4 risk factos (age, weight, smoke, h/o htn). Since her LDL is <160, try Lifestyle Modications first before a Statin or Niacin.
MY RESPONSE:
It was my impression that if a patient has >2 risk factors and the LDL is >130, then its time for pharm. Am I wrong on this? If so, then there is a discrepancy with some texts...
Would appreciate any thoughts...
Summary:
58yo overweight white woman with h/o HTN, osteoporosis, GERD, and smoking (quit 3yrs ago). Her cholesterol is 220 (w/ LDL 155 and HDL 42). She comes in with no complaints and physical exam reveals nothing abnormal.
What is the intial therapy?
A. nothing
B. lifestyle changes
C. statin
D. Gemfibrozil
E. Niacin
The QBank response is: She has 4 risk factos (age, weight, smoke, h/o htn). Since her LDL is <160, try Lifestyle Modications first before a Statin or Niacin.
MY RESPONSE:
It was my impression that if a patient has >2 risk factors and the LDL is >130, then its time for pharm. Am I wrong on this? If so, then there is a discrepancy with some texts...
Would appreciate any thoughts...