Saturday, January 27, 2007

A 23 yr old woman presents to her new primary care physician for her annual physical examination. The patient's history is significant for hypercholesterolemia and a father who had a myocardial imfarction at 38 yrs of age. Her previous primary care physician had encouraged a diet low in both cholesterol and saturated fat; he also prescribed a statin because her LDL cholesterol was 290 mg/dL. On today's fasting cholesterol panel, her LDL cholesterol is 200mg/dL, her HDL cholesterol is 50 mg/dL and her triglycerides are 100 mg/dL. Which of the following would be the most effective change to her daily regimen?A) Add cholestyramineB) Add gemfibrozilC) Increase the statin doseD) Remove the statinE) Return to a diet without restrictions

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