41 years old male, nonsmoker, with no significant medical history came to primary care clinic for routine checkup. Physical examination was normal including BP: 126/76, BMI: 24 kg/m2. Fasting blood testing was done and showed hemoglobin: 14.2, LDL:150 (normal < 150), Triglycerides: 350 (normal < 50). Apart from advising the patient to adhere to healthy lifestyle, what is the best step?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: B. Request fasting blood glucose and HbA1c
- إجابة ثانية: C. Repeat lipid panel after 2 months
Per the cohort's CV-risk lecture, a statin for primary prevention needs age 40-75, a risk factor and a calculated 10-year risk ≥10%; a 41-year-old normotensive nonsmoker with BMI 24 is low risk, so starting atorvastatin (bank key A) is not supported.
- Marked hypertriglyceridemia suggests insulin resistance, and the lecture advises screening with HbA1c/FBG and excluding secondary causes (B).
- Dyslipidemia also needs abnormal values on two occasions to confirm, which supports repeating the panel (C).
ليش كل خيار صح أو غلط
-
A
ليش غلط
The CV-risk lecture gives statins only when all criteria are met: age 40-75, a CVD risk factor, and a calculated 10-year risk of 10% or more; no calculated risk is given here.
✓ CV Risk factor 4th year 2023 copy.pdf · p. 21 -
B
ليش صح
Supported by the CV-risk lecture: it advises checking HbA1c/FBG for prediabetes and impaired fasting glucose (T2DM risk) as part of the work-up.
✓ CV Risk factor 4th year 2023 copy.pdf · p. 28 -
C
ليش صح
Supported by the dyslipidemia lecture: abnormal lipid values from two different occasions are needed to confirm the diagnosis, so repeating the panel is reasonable.
✓ Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
- المصدر
- CV Risk factor 4th year 2023 copy.pdf · p. 21
CV Risk factor 4th year 2023 copy.pdf · p. 28
Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3 - المحاضرة
- Diabetes Mellitus · Endocrinology · Module B
- ظهر في
- Endo bank