Lipids and CV Disease (BOARD REVIEW)

Question 1

What is the minimum desirable level of total cholesterol?

Question 2

What is the minimum desirable level of total cholesterol?

Question 3

What is the clinical stigmata of high cholesterol?

Answer 3

Xanthelasma, Xanthomas, Corneal arcus

Question 4

What is a Xanthelasma?

Answer 4

Cholesterol fatty deposits under/around the eyes

Question 5

What are Xanthomas?

Answer 5

Cholesterol deposits on ankles, skin

Question 6

When should you screen men with no increased risk?

Answer 6

35

Question 7

When should you screen men with increased risks?

Answer 7

20-35

Question 8

When should you screen women with no increased risk?

Answer 8

45

Question 9

When should you screen women with increased risks?

Answer 9

20-45

Question 10

According to OLD standard, optimal LDL is? Borderline high is? High is? Very high is?

Answer 10

190

Question 11

According to OLD standard, desirable total cholesterol is? Borderline high is? High is?

Answer 11

240

Question 12

HDL cholesterol below ? is low?

Answer 12

40

Question 13

HDL cholesterol above ? is high?

Answer 13

60

Question 14

Normal triglycerides?

Question 15

High triglycerides?

Answer 15

200-499

Question 16

What is the PRIMARY aim of therapy?

Answer 16

To reach LDL goal, manage weight, increase physical activity

Question 17

A good rule of thumb for managing cholesterol is…

Answer 17

Once you reach your LDL goal, if triglycerides are still >200, work to get NON HDL cholesterol down to 30 higher than LDL goal.

Question 18

When you see a tendonous xanthoma…think…

Answer 18

Familial hypercholesterolemia

Question 19

What is the clinical stigmata of high cholesterol?

Answer 19

Xanthelasma, Xanthomas, Corneal arcus

Question 20

What is a Xanthelasma?

Answer 20

Cholesterol fatty deposits under/around the eyes

Question 21

What are Xanthomas?

Answer 21

Cholesterol deposits on ankles, skin

Question 22

When should you screen men with no increased risk?

Answer 22

35

Question 23

When should you screen men with increased risks?

Answer 23

20-35

Question 24

When should you screen women with no increased risk?

Answer 24

45

Question 25

When should you screen women with increased risks?

Answer 25

20-45

Question 26

According to OLD standard, optimal LDL is? Borderline high is? High is? Very high is?

Answer 26

190

Question 27

According to OLD standard, desirable total cholesterol is? Borderline high is? High is?

Answer 27

240

Question 28

HDL cholesterol below ? is low?

Answer 28

40

Question 29

HDL cholesterol above ? is high?

Answer 29

60

Question 30

Normal triglycerides?

Question 31

High triglycerides?

Answer 31

200-499

Question 32

What is the PRIMARY aim of therapy?

Answer 32

To reach LDL goal, manage weight, increase physical activity

Question 33

A good rule of thumb for managing cholesterol is...

Answer 33

Once you reach your LDL goal, if triglycerides are still >200, work to get NON HDL cholesterol down to 30 higher than LDL goal.

Question 34

When you see a tendonous xanthoma...think...

Answer 34

Familial hypercholesterolemia

Question 35

What are 3 types of drugs that can cause secondary hyperlipidemia?

Answer 35

Estrogen/progestins, protease inhibitors, anabolic steroids

Question 36

What conditions cause secondary hyperlipidemia?

Answer 36

Diabetes, HYPOthyroidism, obstructive liver disease/biliary cirrhosis, renal disease

Question 37

Goal of therapy for LDL

Question 38

Risk factors for CHD

Answer 38

Age (M>45, W>55), smoking, HTN, HDL

Question 39

What counts as a NEGATIVE risk factor when assessing risks?

Answer 39

HDL > 60

Question 40

What is the name for the scoring system?

Answer 40

Framingham

Question 41

What would you do? A pt with 2+ risk factors and a 10 year risk of

Answer 41

LDL of

Question 42

What would you do? A pt with 0-1+ risk factor? What is the LDL goal? When would you initiate lifestyle changes? When would you consider a drug?

Answer 42

LDL of