A 61-year-old man has LDL cholesterol 162 mg/dL and calculated 10-year ASCVD risk of 13%. He does not smoke and has no diabetes. Liver enzymes are

Question

A 61-year-old man has LDL cholesterol 162 mg/dL and calculated 10-year ASCVD risk of 13%. He does not smoke and has no diabetes. Liver enzymes are normal and he asks whether diet is enough. Which of the following is the most appropriate next step in management?

Accepted Answer

Start moderate- to high-intensity statin therapy after shared decision-making

Answer

Order carotid stenting to prevent stroke

Answer

Use omega-3 supplements as sole therapy

Answer

Repeat lipid testing in 5 years without treatment

Answer

Start fibrate therapy as first-line prevention

Hyperlipidemia primary prevention — USMLE Step 3 MCQ

A 61-year-old man has LDL cholesterol 162 mg/dL and calculated 10-year ASCVD risk of 13%. He does not smoke and has no diabetes. Liver enzymes are normal and he asks whether diet is enough. Which of the following is the most appropriate next step in management?