A 52-year-old with ASCVD risk 9% is unsure about statins. CAC score is 0. Best next step?...

Question

A 52-year-old with ASCVD risk 9% is unsure about statins. CAC score is 0. Best next step?

Accepted Answer

With CAC 0, reasonable to defer statin and re-evaluate in 5-10 years (unless smoker, diabetes, strong family history)

Answer

Initiate high-intensity statin regardless

Answer

Start ezetimibe instead

Answer

Start PCSK9 inhibitor

Answer

Order coronary CT angiography

us-abfm MCQ (SBA): Risk Stratification with CAC