Cholesterol

____ have the highest prevalence of Cardiovascular Disease (CVD).

• Asians

• Caucasians

• Blacks

• Hispanics

Answer explanation

Which of these answers includes an item that is not a part of the ASCVD risk calculation?

• Sex

  BP

  Race

  Smoking

• BP

  Diabetes

  tx for HTN

  Age

• Age

  Smoking

  tx for HTN

  Alcohol

• Race

  Cholesterol

  Age

  Diabetes

• Sex

  Cholesterol

  Race

  tx for HTN

Answer explanation

AAFP recommends starting statin therapy in a patient with ___ ASCVD 10-year risk in patients with diabetes and in those with LDL levels of 190 or higher

• 8%

• 7.5%

• 10%

• 12%

Answer explanation

In patients with clinical ASCVD, reduce LDL with ___-intensity statin therapy.

• high

• low

• moderate

Answer explanation

In very high-risk ASCVD, use an LDL threshold of ___ mg/dL to consider addition of nonstatins to statin therapy

• 80

• 90

• 100

• 70

Answer explanation

In patients with severe primary hypercholesterolemia (LDL ≥190 mg/dL) :

• Calculate 10y ASCVD risk, then based on risk score, start mod-intensity statin

• Begin high-intensity statin without calculating ASCVD risk

• Begin mod-intensity statin without calculating ASCVD risk

• Calculate 10y ASCVD risk, then based on risk score, start high-intensity statin

Answer explanation

True/False: In patients 40 to 75yo with diabetes mellitus and LDL ≥70 mg/dL, start moderate-intensity statin therapy without calculating 10-year ASCVD risk.

• True

• False

Answer explanation

In adults 40 to 75yo evaluated for primary ASCVD prevention:

• start high intensity statin therapy

• consider risk-benefit of statin therapy with patient

• start moderate intensity statin therapy

• No statin therapy needed

Answer explanation

In adults 40 to 75yo without diabetes mellitus and LDL ≥70 mg/dL, 10-year ASCVD risk of ≥___%, start a moderate-intensity statin if a discussion of treatment options favors statin therapy.

• 7.5

• 12

• 10

• 15

Answer explanation

In adults 40 to 75yo without diabetes mellitus and 10-year risk of ___% to ___%, then the next step is to discuss risk-enhancing factors, and if have them, then favor initiation of statin therapy

• 8-12%

• 8-14.9%

• 7.5-19.9%

• 7.5-12%

Answer explanation