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Hereditary hemochromatosis — ABIM Board MCQ

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HardHematology/OncologyHereditary hemochromatosisABIM Board

A 62-year-old without clinical cardiovascular disease has hypertension, dyslipidemia, no diabetes, and a calculated 10-year cardiovascular risk of 12%. What primary-prevention medication plan is appropriate?

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Correct answer: E — Initiate a statin after discussing expected benefits and harms

USPSTF recommends initiating a statin for adults aged 40 to 75 years who have a cardiovascular risk factor and an estimated 10-year CVD risk of at least 10%. Aspirin and anticoagulation are not interchangeable primary-prevention strategies.

Reference: USPSTF: Statin Use for Primary Prevention of Cardiovascular Disease: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication