Hypertension — UKMLA MCQ

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MediumPreventive CardiologyHypertensionUKMLA MRCP Part 1

A 50-year-old with obesity and HTN has CAC score 0 and LDL 2.9 mmol/L. 10-year ASCVD risk 9%. He asks about statin initiation. USPSTF guidance?

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Correct answer: E — No statin; consider lifestyle; shared decision-making for borderline/intermediate risk

USPSTF recommends individual decision-making for 7.5-10% risk; consider moderate-intensity statin after discussion. CAC score 0 supports deferring statin with lifestyle focus. PCSK9/ezetimibe are not first-line. Aspirin is separate and not routinely recommended.

Reference: USPSTF (2022)