skip to main content

Secondary ASCVD prevention — ABFM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardCardiovascularSecondary ASCVD preventionABFM Board

A 57-year-old woman has LDL 92 mg/dL, diabetes, hypertension, and a prior ischemic stroke. She takes moderate-intensity statin. Liver enzymes are normal. Which of the following is the most appropriate next step?

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

Reveal the answer and explanation

Correct answer: D — Increase to high-intensity statin therapy if tolerated

Patients with clinical ASCVD, including ischemic stroke, should receive high-intensity statin therapy if tolerated to reduce recurrent cardiovascular events. Additional LDL-lowering therapy may be considered based on achieved LDL and risk.

Reference: ACC/AHA Cholesterol Guideline