WorksheetsCholesterol
Total questions: 16
Worksheet time: 16mins
____ have the highest prevalence of Cardiovascular Disease (CVD).
Asians
Caucasians
Blacks
Hispanics
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
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%
In patients with clinical ASCVD, reduce LDL with ___-intensity statin therapy.
high
low
moderate
In very high-risk ASCVD, use an LDL threshold of ___ mg/dL to consider addition of nonstatins to statin therapy
80
90
100
70
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
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
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
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
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%
In adults 40 to 75yo without diabetes mellitus and LDL levels ≥___to___ mg/dL, 10-year ASCVD risk of ≥7.5% to 19.9%, if a decision about statin therapy is uncertain, consider measuring CAC
70-189
190-200
70-140
100-190
After starting statin therapy, repeat lipid measurement ___to___ weeks after statin initiation or dose adjustment, repeat every ___to___ months as needed.
2-4wk
6-9mo
4-6 wk
3-6mo
6-8wk
6-12mo
4-8 wk
3-12 mo
I'm sweating after all those numbers 😅, who is still awake?
Me
Not Me
I'm hungry
🥱😴
63yo man with diabetes mellitus, no prior CVD or risk enhancers, not on statins...next step?
Start on Crestor (Rosuvastatin) 20mg
Calculate ASCVD risk
Start on Lipitor (Atorvastatin) 20mg
Start on Lipitor (Atorvastatin) 40mg
44yo South Asian female with rheumatoid arthritis, LDL 90, no diabetes mellitus, ASCVD risk score is 10%, you discuss risk-benefit with patient, what is the next step?
No statin therapy at this time
Start Zocor (Simvastatin) 10mg
Start Lipitor (Atorvastatin) 40mg
Start Crestor (Rosuvastatin) 5mg
In a 58yo patient with clinical ASCVD, not at very high risk, not on statin, what is the next step?:
Start high-intensity statin
Start mod-intensity statin
Start low-intensity statin
No statin therapy needed
