Lipid tests and Guidelines

Question 1

What are the high-risk CVD factors?

Answer 1

Htn
smoking
DM
Familial hyperlipidemia 
Obesity 
Familial CVD younger than 55 male younger 65 female

Question 2

What is the frequency you assess RISK for CVD

Answer 2

4-6 yrs

Question 3

What interval do you SCREEN for lipids for someone with normal lipid levels?

Answer 3

every 5 years

Question 4

What is considered low HDL?

Answer 4

Men <40

Women <50

Question 5

What is optimal LDL?

Answer 5

<100

Question 6

What is optimal total cholesterol?

Answer 6

<200

Question 7

What is very high total cholesterol?

Answer 7

greater than or equal to 300

Question 8

What is a very high triglyceride level

Answer 8

greater than or equal to 500

Question 9

What is a very high LDL

Answer 9

greater than or equal to 190

Question 10

What does high-intensity therapy for statins look like?

Answer 10

lowers LDLs by greater than or equal to 50%

Question 11

What does moderate-intensity statin therapy look like?

Answer 11

lowers LDL by greater than or equal 30-50%

Question 12

What is primary prevention?

Answer 12

prevention of the initial event

Question 13

What is secondary prevention?

Answer 13

prevent of reoccurrence of event

Question 14

What is the optimal ratio of TC to HDL ? What ratio would be considered atherosclerotic?

Answer 14

<3:1 optimal

>4:1 atherosclerotic

Question 15

What is a complete lipid profile ?

Answer 15

TC
TG(fasting)
LDL
HDL

Question 16

A pt has a TC that is 321 mg/dL and an HDL that is 33mg/dL. What should you order next?

Answer 16

full lipid panel because his TC is >200 and his HDL is <40

Question 17

When do you screen children’s lipids when they have CVD risk?

Answer 17

at 2yr old or discovery of risk factor

Question 18

What are high and moderate-intensity statin therapy goals?

Answer 18

High Lower LDL by greater than or equal to 50%

Moderate lower LDL by 30-50%

Question 19

If the LDL is > or equal to 190 do you need to do an ASCVD risk assessment?

Answer 19

No start them on high-intensity statin

Question 20

What do you do if a pt is btwn the ages of 40-75 yrs old and has DM?

Answer 20

Start on moderate-intensity statin

and assess risk for high intensity statin

Question 21

When should you reorder a lipid panel after the initiation of statin therapy? How often do you follow up

Answer 21

reorder 4-12 weeks/ 1-3 months

Reassess 3-12 months