A 60-year-old man with type 2 diabetes mellitus and hypertension visits the office to establish medical care. His daily medications are metformin, lisinopril, amlodipine, and aspirin. On physical examination, blood pressure is 128/65 mm Hg and pulse is 76/min; BMI is 26. The remaining physical examination findings are normal. (Cholesterol Total215mg/dL) (HDL 39mg/dL) (LDL 145 mg/dL), (Triglycerides 185 mg/dL) (Hemoglobin A1c 6.5%) Which of the following drugs should be initiated?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Simvastatin
A diabetic aged 40–75 with LDL 70–189 mg/dL (his LDL is 145) is a statin-benefit group, so a statin (simvastatin) should be started — moderate-to-high intensity.
- Ezetimibe is an add-on when LDL stays high on a statin (or if statin-intolerant); fenofibrate is for severe hypertriglyceridaemia (>500 mg/dL), and niacin has no role here.
ليش كل خيار صح أو غلط
-
A
ليش صح
A patient aged 40-75 with diabetes and LDL 70-189 mg/dL (his is 145) should start a moderate- or high-intensity statin such as simvastatin.
✓ Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3 -
B
ليش غلط
Ezetimibe is an add-on to a statin (or monotherapy if statin-intolerant), not the first drug to start.
✓ view-material.pdf · p. 24 -
D
ليش غلط
Fibrates are for severe hypertriglyceridemia (above 500 mg/dL) to prevent pancreatitis; his triglycerides are 185.
✓ view-material.pdf · p. 24
- المصدر
- Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
view-material.pdf · p. 24 - المحاضرة
- Obesity & Lipids · Endocrinology · Module B
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- Endo bank