A 38-year-old man has an LDL cholesterol level of 204 mg/dL on a fasting lipid panel. He has no diabetes, does not smoke, and has no chest pain. His

Question

A 38-year-old man has an LDL cholesterol level of 204 mg/dL on a fasting lipid panel. He has no diabetes, does not smoke, and has no chest pain. His father had myocardial infarction at age 48. Which of the following is the most appropriate next step in management?

Accepted Answer

Start high-intensity statin therapy

Answer

Order exercise stress testing

Answer

Start omega-3 fatty acids

Answer

Start low-dose aspirin

Answer

Repeat lipid testing in 5 years

Severe hypercholesterolemia — USMLE Step 3 MCQ

A 38-year-old man has an LDL cholesterol level of 204 mg/dL on a fasting lipid panel. He has no diabetes, does not smoke, and has no chest pain. His father had myocardial infarction at age 48. Which of the following is the most appropriate next step in management?