A 59-year-old man with diabetes and hypertension has a 10-year ASCVD risk of 18%. LDL cholesterol is 138 mg/dL. He has no liver disease or prior

Question

A 59-year-old man with diabetes and hypertension has a 10-year ASCVD risk of 18%. LDL cholesterol is 138 mg/dL. He has no liver disease or prior statin intolerance. Which of the following is the most appropriate next step in management?

Accepted Answer

Start high-intensity statin therapy

Answer

Delay treatment until LDL exceeds 190 mg/dL

Answer

Start niacin as preferred first-line therapy

Answer

Recommend no risk reduction

Answer

Use fish oil as sole lipid therapy

ASCVD prevention in diabetes — USMLE Step 3 MCQ

A 59-year-old man with diabetes and hypertension has a 10-year ASCVD risk of 18%. LDL cholesterol is 138 mg/dL. He has no liver disease or prior statin intolerance. Which of the following is the most appropriate next step in management?