A 46-year-old man comes for routine health examination. The patient has no current concern and he is compliant with his medications. He has type 2 diabetes mellitus treated with diet, and metformin. The patient is an active smoker. His vital signs are stable with blood pressure of 128/76 mmHg. Laboratory results are as follows: Total cholesterol 172mg/dl (normal < 200 mg/dL) HDL 50 mg/dl (normal 40-60 mg/dL) Triglycerides 250 mg/dl (normal < 150 mg/dL) Hemoglobin 6.5% (normal < 6%) Creatinine 1.1 mg/dl (normal 0.6 – 1.2 mg/dL) Serum chemistry values are within normal limits. Urinalysis shows no proteinuria. The addition of which of the following is the most appropriate in management of this patient?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Rosuvastatin
He is 46 with diabetes (and smokes). Estimated LDL ≈ 172 − 50 − 250/5 ≈ 72 mg/dL, which falls in the 70–189 range. Diabetics aged 40–75 with LDL 70–189 qualify for moderate- to high-intensity statin therapy regardless of their lipid levels, so rosuvastatin is the right addition.
- Gemfibrozil (B): fibrates are reserved for severe hypertriglyceridemia (>500 mg/dL) to prevent pancreatitis; TG 250 is not an indication.
- BP is at target (A, E), and HbA1c 6.5% needs no glimepiride (D).
ليش كل خيار صح أو غلط
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B
ليش غلط
Fibrates are for severe hypertriglyceridemia (above 500 mg/dL) to prevent pancreatitis; his triglycerides of 250 are not an indication.
✓ view-material.pdf · p. 24 -
C
ليش صح
Patients aged 40-75 with diabetes and LDL 70-189 mg/dL should start a moderate- or high-intensity statin such as rosuvastatin.
✓ Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
- المصدر
- Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
view-material.pdf · p. 24 - المحاضرة
- Obesity & Lipids · Endocrinology · Module B
- ظهر في
- Endo bank