A 42-year-old man comes for a routine health maintenance examination. There is no family history of

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

  1. samuel

    samuel New Member

    A 42-year-old man comes for a routine health maintenance examination. There is no family history of coronary artery disease, and he does not smoke. His weight is appropriate for his height. His blood pressure is 120/80 mm Hg. Serum lipid studies show a total cholesterol level of 190 mg/dL, HDL-cholesterol level of 40 mg/dL, and triglyceride level of 150 mg/dL. Which of the following is the most appropriate next step in management?

    A
    ) Recommend the Step 2 National Cholesterol Education Program diet

    B
    ) Measure serum LDL-cholesterol level now

    C
    ) Measure total serum cholesterol level in 5 years

    D
    ) Prescribe prophylactic aspirin

    E
    ) Begin treatment with lovastatin

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