A 46-year-old man has fasting triglycerides of 820 mg/dL, LDL cholesterol 92 mg/dL, and A1c 6.4%. He drinks 4 beers nightly. He has no abdominal

Question

A 46-year-old man has fasting triglycerides of 820 mg/dL, LDL cholesterol 92 mg/dL, and A1c 6.4%. He drinks 4 beers nightly. He has no abdominal pain. TSH and creatinine are normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Reduce alcohol intake and start triglyceride-lowering therapy

Answer

Start bile acid sequestrant monotherapy

Answer

Order emergent pancreatic surgery

Answer

Prescribe high-dose estrogen therapy

Answer

Recheck lipids in 10 years

Hypertriglyceridemia — USMLE Step 3 MCQ

A 46-year-old man has fasting triglycerides of 820 mg/dL, LDL cholesterol 92 mg/dL, and A1c 6.4%. He drinks 4 beers nightly. He has no abdominal pain. TSH and creatinine are normal. Which of the following is the most appropriate next step in management?