43 - Primary Prevention of Vascular Disease

Question 1

Ankle-brachial index (ABI) < _____ = PAD

Answer 1

0.9

Question 2

non-pharms

Answer 2

healthy diet, exercise, achieve normal BMI, reduce dietary sodium, stop smoking, limit alcohol

Question 3

Basically you just treat whatever risk you have, so if they have HTN, treat HTN, if they have high lipids, treat that, etc.

Answer 3

ok

Question 4

Only lipid-lowering class proven to reduce CV risk in primary prevention?

Answer 4

statins

Question 5

Diabetes, target A1c of ____ to decrease risk of microvascular complications

Answer 5

6.5-7%

Question 6

The evidence linking tight glycemic control to prevention of _____ complications is less robust, particularly in T2DM

Answer 6

macrovascular

Question 7

Should you use antithrombotics (ex. ASA) for primary prevention

Answer 7

no

they may reduce CV risk but increases risk for major GI bleeding and hemorrhagic strokes

Question 8

If they have what condition, may you think about adding ASA as primary prevention?

Answer 8

A. fib

Question 9

What is the CHADS2 score?

Answer 9

C = congestive heart failure
H = HTN
A = age > 75 yo
D = DM
S2 = Hx or stroke or TIA

Question 10

Can use _____ for obesity management

Answer 10

Orlistat

Question 11

Should you recommend any nutritional supplements?

Answer 11

none have shown consistent benefit - just recommend healthy balanced diet

Question 12

Women should not be encouraged to continue _____ ______ _______ if the sole reason is vascular protection

Answer 12

hormone replacement therapy