A 52-year-old man has no symptoms and does not smoke. Blood pressure is 136/84 mm Hg, LDL is 158 mg/dL, HDL is 40 mg/dL, and A1c is 5.6%. His 10-year

Question

A 52-year-old man has no symptoms and does not smoke. Blood pressure is 136/84 mm Hg, LDL is 158 mg/dL, HDL is 40 mg/dL, and A1c is 5.6%. His 10-year ASCVD risk is 11%. Liver enzymes are normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Begin a moderate-intensity statin after shared decision-making

Answer

Repeat lipid testing in 5 years

Answer

Begin aspirin for primary prevention

Answer

Order coronary angiography

Answer

Begin ezetimibe without statin therapy

Primary prevention lipid management — USMLE Step 3 MCQ

A 52-year-old man has no symptoms and does not smoke. Blood pressure is 136/84 mm Hg, LDL is 158 mg/dL, HDL is 40 mg/dL, and A1c is 5.6%. His 10-year ASCVD risk is 11%. Liver enzymes are normal. Which of the following is the most appropriate next step in management?