A 30-year-old woman comes to the physician for a follow-up examination 4 months after starting treat

Discussion in 'USMLE Step 2 CK' started by samuel, Dec 18, 2014.

  1. samuel

    samuel New Member

    An asymptomatic 47-year-old man comes for a preemployment examination. He has never been hospitalized. He is a computer programmer, and he plays handball once weekly. His maternal grandmother had type 2 diabetes mellitus, and a paternal uncle had heart disease. The patient's blood pressure is 126/80 mm Hg. Examination shows no abnormalities. His total serum cholesterol level is 225 mg/dL. Which of the following is the most appropriate next step in management?

    A
    ) Step 2 American Heart Association cardiac diet

    B
    ) Serum lipid studies while fasting

    C
    ) Exercise stress test

    D
    ) Oral cholestyramine and niacin therapy

    E
    ) Oral pravastatin therapy at bedtime

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