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Lipid primary prevention — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsLipid primary preventionGPhC CRA

A 64-year-old man has been advised by his GP to start a statin after a QRISK3 discussion. He has no previous cardiovascular event and asks which medicine is commonly started for primary prevention. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Atorvastatin 20mg once daily

Atorvastatin 20mg daily is a usual starting option for primary prevention where a statin is indicated. Very high-dose simvastatin or twice-daily high-dose rosuvastatin would not be appropriate starting choices. Ezetimibe and fibrates have specific roles but are not the standard first-line choice in this vignette.

Reference: NICE CKS; BNF