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Prostate cancer screening shared decision-making — ABIM Board MCQ

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ModerateWomen's/Men's HealthProstate cancer screening shared decision-makingABIM Board

A 62-year-old without cardiovascular disease has hypertension, smokes, LDL cholesterol 142 mg/dL and an estimated 10-year CVD risk of 14%. He is willing to take preventive medication. What should be offered?

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Correct answer: B — Initiate moderate-intensity statin therapy after risk discussion

The best answer is “Initiate moderate-intensity statin therapy after risk discussion”. An adult aged 40 to 75 with cardiovascular risk factors and estimated 10-year risk at least 10% should be offered a statin for primary prevention after discussion. LDL above 190 defines a separate high-risk pathway but is not the only indication. Aspirin and angiography do not substitute for evidence-based lipid lowering.

Reference: USPSTF 2022 Statin Primary Prevention Recommendation: https://www.uspreventiveservicestaskforce.org/uspstf/document/ClinicalSummaryFinal/statin-use-in-adults-preventive-medication