Hyperlipidemia: Test your skills with these 5 questions
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Gary S. Ferenchick, MD, MS, FACP, is a Professor of Internal Medicine at Michigan State University, East Lansing. Dr. Ferenchick is also a faculty member of the National Family Medicine Board Review course and creator of www.justintimemedicine.com.

Question 1 of 5

A 52-year-old woman presents to your clinic for a health maintenance evaluation. She is married with 3 children and works as a data analyst for a local computer company. She has not been seen by a physician for the previous 8 years. She denies any chronic medical conditions, is taking no medications, and is currently asymptomatic. Family history reveals that her mother had a myocardial infarction (MI) at age 62.

Your patient’s vital signs are as follows: blood pressure, 138/82 mm Hg; heart rate, 72 beats/min (bpm), strong and regular; respiratory rate, 18 breaths/min and regular; and body mass index (BMI), 29. The rest of her physical examination is normal.

She is interested in learning about her personal risk for coronary disease. The next step in addressing this patient's request is:

Starting a moderate-intensity statin given her risk profile.

Ordering a fasting or nonfasting lipid profile and screening for diabetes.

Ordering a fasting or nonfasting lipid profile and C-reactive protein and lipoprotein(a) tests.

Ordering a fasting or nonfasting lipid profile and an apolipoprotein B test.

This quiz is not accredited for CME.

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