A 49-year-old smoker with LDL-C 130 mg/dL, hypertension, and a 10-year ASCVD risk of 11% seeks advice on statins. No diabetes or ASCVD. What is the re...

Question

A 49-year-old smoker with LDL-C 130 mg/dL, hypertension, and a 10-year ASCVD risk of 11% seeks advice on statins. No diabetes or ASCVD. What is the recommended approach?

Accepted Answer

Initiate a moderate-intensity statin for primary prevention

Answer

No statin because he is under 50

Answer

Initiate low-dose ezetimibe alone

Answer

Order CAC and defer statin regardless of results

Answer

Use high-intensity statin only if LDL-C ≥190 mg/dL

us-abfm MCQ (SBA): Primary Prevention-Statins

A 49-year-old smoker with LDL-C 130 mg/dL, hypertension, and a 10-year ASCVD risk of 11% seeks advice on statins. No diabetes or ASCVD. What is the recommended approach?