A 60-year-old man with hypertension and smoking history has LDL-C 3.7 mmol/L. His 10-year cardiovascular risk is high by a Canadian risk calculator.

Question

A 60-year-old man with hypertension and smoking history has LDL-C 3.7 mmol/L. His 10-year cardiovascular risk is high by a Canadian risk calculator. Which of the following is the most appropriate next step?

Accepted Answer

Discuss statin therapy plus lifestyle and smoking cessation for primary prevention

Answer

Use niacin as first-line for all patients as the preferred next step

Answer

Order coronary bypass surgery as screening as the preferred next step

Answer

Ignore lipids as the preferred next management strategy in this patient

Answer

Start antibiotics to reduce LDL as the preferred next management strategy

Dyslipidaemia primary prevention — MCCQE Part 1 MCQ

A 60-year-old man with hypertension and smoking history has LDL-C 3.7 mmol/L. His 10-year cardiovascular risk is high by a Canadian risk calculator. Which of the following is the most appropriate next step?