Guidelines

Question 1

ATP III non-HDL-C target in patients with elevated triglycerides (>200)

Answer 1

non-HDL-c= VLDL + LDL-C

Goal is 30 mg/dL higher than LDL-C goal

To cover for atherogenic potential of hypertriglyceridemia

Question 2

Drugs that raise HDL-C

Answer 2

fibrates, nicotinic acid

Question 3

Fibrates help with

Answer 3

reducing risk of CHD in people with high triglycerides and low HDL-C

ESPECIALLY in DM patients or metabolic syndromes

Question 4

Nicotinic acid helps

Answer 4

reduce LDL-C and risk HDL-C

Patients tend to not tolerate it due to SE (flushing)

Question 5

Serum cholesterol levels correlate with

Answer 5

CHD risk

Question 6

For every 1% reduction in LDL, equates to

Answer 6

1% reduction in relative risk of CHD events

Question 7

If baseline levels of LDL >130 patient must be started on pharmacologic therapy AND

Answer 7

dietary therapy

typically need to double dose of Statin (high dose regimen)

Question 8

Absolute contraindications for fibrinolytic in Cardiac event

Answer 8

History of CVA
Cranial/Spinal surgery last 2 months
BP > 180/110
Known bleeding tendencies
Active bleeding last 10 days
Trauma or major surgery in last 10 days
Known or suspected pregnancy

Question 9

Indications for fibrinolytic in Ischemic Stroke

Answer 9

No age limit
Onset of S/S  100K
Glucose > 50
No history of intracranial hemorrhage
No major surgery in last 14 days
No GI/urinary hemorrhage in last 21 days
No head trauma/stroke in last 3 months

Question 10

Exercise contraindicated in

Answer 10

Complete heart block
embolic conditions
decompensated CHF
uncontrolled DM

Question 11

In regards to exercise Men >40 and Women >50 at risk for cardiopulmonary disorders must seek

Answer 11

Medical evaluation prior to working out

Need EKG before working out

Question 12

Routine screenings do not include

Answer 12

Chest x-ray
EKG
Self-breast exams

Question 13

Screenings for adults 20-39

Answer 13

fractionated lipid panel at 20 the q5y

Question 14

Screening for adults 40-59

Answer 14

baseline EKG (not necessary)
Colorectal screening at 50
Tonometry at 40 (IOC/glaucoma)

Question 15

Screening for adults >60

Answer 15

stop doing prostate at 69

No recommendations for PAP >70

Question 16

Preoperative work-up for elective surgery for patients

Answer 16

H/P, CBC, UA

No cardiac work-up unless H/P suggests it

Question 17

Risk factors for LDL treatment

Answer 17

smoking
HTN
low HDL
family history of CHD
age (men >45, women >55)