CV 3 Flashcards

1
Q

first line tx for hyperlipidemia is

A

lifestyle changes

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2
Q

if patient has markedly high trigs (500 or higher), priority is to

A

lower trigs due to increased risk of acute pancreatitis

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3
Q

HLD - for adults at higher CV risks, lipid screening f/u in males and females should occur when

A

males ages 25-30
females 30-35

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4
Q

HLD - for adults at lower CV risk, it is suggested to perform f/u lipid screening when

A

males at 35
females at 45

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5
Q

USPSTF recommends initiating a statin in adults when

A

age 40-75 who have one or more CVD risk factor (e.g. dyslipidemia, dm, HTN) and an est 10 year CVD risk of 10% or more

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6
Q

total cholesteraol normal value

A

<200

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7
Q

HDL normal values - men, women

A

> 40 men
50 women

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8
Q

what HDL value is associated with lower risk for HD

A

> 60

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9
Q

HDL < 40

A

associated with increased risk of CAD even if normal LDL or cholesterol; genetic causes are probably the most common reason for low HDL

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10
Q

LDL optimal number

A

<100

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11
Q

trigs normal level

A

<150

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12
Q

avoid alcohol in very high trigs because it can precipitate what

A

acute pancreatitis

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13
Q

for moderate hypertriglyceridemia (fasting trigs 150-499) add what

A

omega 3 fatty acid therapy for patients with high ASCVD risk

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14
Q

for mod to severe hypertriglyceridemia (500-900) add what

A

omega 3 fatty acid therapy and fibrate therapy

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15
Q

what 3 med classes can help lower trigs

A

statins
fibrates
omega 3 fatty acids

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16
Q

first line tx for HTN

A

lifestyle and dietary changes

17
Q

enzyme in the liver responsible for cholesterol synthesis

A

HMG-CoA reductase

18
Q

statins function

A

inhibit the enzyme HMG-CoA in the liver which results in decreased lipoprotein production

19
Q

check baseline what before starting statin

A

liver function

20
Q

reduces production of trigs by the liver and increases production of HDL

A

fibrates

21
Q

which statins should you avoid grapefruit on
2

A

simvastatin
lovastatin

22
Q

HTN is defined as

A

BP above 130/80

23
Q

patients with CKD, BP goal is

A

130/80

24
Q

patients with DM - initiate htn tx when, goal is what

A

initiate if BP 130/80 or higher
goal <130/<80

25
Q

Treating HTN - patients with DM first line meds

A

diuretic
ACEI
ARB
CCB

26
Q

non-AA population HTN first line meds

A

thiazide diuretic
CCB
ACEI
ARB

27
Q

AA population HTN first line therapy

A

thiazide diuretic or CCB

28
Q

HTN screening guidelines

A

starting at age 18, screen BP every year; if risk factors for HTN then 2 x year

29
Q

systemic vascular resistance in pregnancy

A

lowered bc of hormones

30
Q

what heart sound is common in 3rd trimester

A

S3