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Hyperlipidemia primary prevention — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareHyperlipidemia primary preventionUSMLE Step 3

A 56-year-old man with hypertension and LDL cholesterol of 154 mg/dL has a calculated 10-year ASCVD risk of 14%. He has no diabetes, no ASCVD, and normal liver tests. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Start a moderate-intensity statin

Adults aged 40 to 75 years with cardiovascular risk factors and 10-year risk at least 10% benefit from statin therapy for primary prevention.

Reference: USPSTF A and B Recommendations, current online summary