Deck 63: Lipid Disorders

Question 1

For which of the following patients would you not recommend starting statin therapy?

A) 55-year-old male with diabetes and LFTs twice the normal limits
B) 65-year-old female with diabetes and end-stage renal disease on dialysis three times per week
C) 55-year-old female with diabetes, history of myocardial infarction (MI), and an LDL of 50
D) 70-year-old male with a history of statin myopathy on simvastatin and on fish oil

Answer 1

B

Question 2

A patient hypertriglyceridemia requests education about how to prevent pancreatitis. How do you counsel?

A) Limit excessive alcohol intake
B) Eat a diet high in plant stanols
C) Start a statin
D) Stop smoking

Answer 2

A

Question 3

Tendon xanthomas are most likely to be seen in which patients?

A) Patients with primary hyperlipidemias
B) Patients with hypertriglyceridemia
C) Patients with chronic, untreated hyperlipidemias
D) Pregnant patients with hyperlipidemia

Answer 3

A

Question 4

Ms. S is a 55-year-old woman with diabetes and an estimated 10- year risk < 7.5%. At her last visit, she was started on simvastatin 10 mg and her LDL has reduced from 110 mg/dl to 90 mg/dl. How do you proceed?

A) Continue simvastatin 10 mg daily.
B) Increase simvastatin to 20 mg daily.
C) Switch to atorvastatin 80 mg daily.
D) Switch to lovastatin 20 mg daily.

Question 5

The most significant potential benefit in CHD mortality risk reduction comes from modifying which of the following?

A) Diet
B) Smoking
C) Exercise
D) Obesity

Question 6

A 25-year-old patient presents for annual blood tests. His A1C is 4.9%. His LDL is 195 mg/dl. He is a nonsmoker and has no personal history of CAD. What should be the next step in terms of clinical management? Select the best answer.

A) Lipid therapy is not indicated. Initiate screening for lipid disorders at age 40.
B) Lipid therapy is not indicated. Repeat lipid panel and reassess risk annually.
C) Start simvastatin 20 mg daily.
D) Start atorvastatin 40 mg daily.

Question 7

All of the following are considered secondary disorders of lipid metabolism, except:

A) Hypothyroidism
B) Immunoglobulin excess
C) Pregnancy
D) Familial combined hyperlipidemia

Question 8

An 80-year-old patient is seeing you after a recent hospitalization for MI. Her blood pressure is 130/85. Her lipid panel today shows an LDL of 90 mg/dl. She takes aspirin but no other medications.

A) Provide education, but do not initiate statin therapy given her age. No additional lipid monitoring required.
B) Provide education and repeat lipid panel in 1 year
C) Start atorvastatin 20 mg daily
D) Start atorvastatin 80 mg daily

Question 9

Premature CAD is almost always due to secondary lipid disorders, so work-up for primary lipid disorders is unnecessary.

Question 10

Name an online resource tool that you intend to try: