Review

Question 1

Who needs Statin therapy?

Answer 1

Hx of ASCVD (secondary prevention or risk equivalent)
* < 75 years old: High intensity statin
* > 75 years old: moderate intensity statin (sometimes will see simvastatin 20-40mg)
* target LDL decrease by 50%, very high risk? goal < 70

LDL > 190mg/dL (primary prevention)
* High intensity statin: atorvastatin 40-80mg, rosuvastatin 20-40mg

Diabetes (ages 40-75)
* moderate intensity statin
* ASCVD risk > 7.5% high intensity

Pt w/o diabetes or ASCVD (ages 40-75) with estimated 10 year ASCVD risk > 7.5%
* moderate to high intensity statin

*

Question 2

Testing for PAD

Answer 2

• ABI first line claudication
• sign of occlusive dz, usually ultrasound
• other imaging only after ABI or US (CT, MRI, cath)

Question 3

BMI < 18.5

Answer 3

underweight

Question 4

BMI 18.5-24.9

Answer 4

Normal

Question 5

BMI 25-29.9

Answer 5

overweight

Question 6

BMI >30 classes

Answer 6

Obese
* Class I (30-34.9)
* Class II (35-39.9)
* Class III (>40)

Question 7

what labs should be done for initial evaluation of HTN?

Answer 7

• ECG: screening for LVH
• creatinine, UA: screening for kidney dysfuntion
• TSH: Screening for secondary cause
• Glucose/A1C: Assessing for other CV risk factor
• Lipids: Asessing other CV risk factor