Lipids

Question 1

Absolute indications for starting statins

Answer 1

LDL-C 190and above=high intensity; diabetes age 40-75=moderate intensity

Question 2

What age can 10 yr ASCVD risk be calculated

Answer 2

40-75

Question 3

If LDL-C is between___ in people age 40-75, then 10 yr ASCVD risk and risk factor assessment should be calculated/done to determine if treatment should be initiated

Answer 3

70-190

Question 4

high risk is considered _____ and warrants what treatment for cholesterol

Answer 4

age 40-75 w/ LDLc 70-190 and 10 yr ASCVD risk 20% warrants statin to reduce LDL-C by 50%

Question 5

10 yr ASCVD risk between 5-19.9% for pts LDL-C 70-190 warrants what treatment for cholesterol

Answer 5

risk discussion/assessment of risk enhancers, including race, per AHA flow chart

Question 6

age 0-19 w/ high cholesterol

Answer 6

treat if familial hypercholesterolemia then statin, otherwise lifestyle

Question 7

age 20-39 high cholesterol

Answer 7

consider treating if LDL-C 160 and above AND premature fam hx of ASCVD

Question 8

Premature ASCVD defined as

Answer 8

myocardial infarction, angina with coronary revascularization, stroke, or cardiovascular death in ≥1 parent or full sibling at age<55 men <65 women

Question 9

cardiovascular health goals for south asians include_______

Answer 9

A1c<6, waist circ<31” F, 35M, BMI<23, lipoprotein A<100, total cholesterol<160, HDL >40 men and >50 F, triglycerides <150 ; specific cutoffs for certain % risk groups found on ACC

Question 10

a not so obvious manifestation of familial hypercholesterolemia is_____

Answer 10

recurrent Achillies tendonitis and arthritic complaints, dont forget to look for xanthomas and corneal deposits

Question 11

Cholesterol should be checked starting around age ___. One time screening should be done before puberty T/F. Low risk groups can have cholesterol checked every _____yrs

Answer 11

20yrs, T, 4-6yrs