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 lipid level screening Q  

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A 42-year-old man comes for a routine health maintenance examination. There is no family
history of coronary artery disease, and he does not smoke. His weight is appropriate for his height.
His blood pressure is 120/80 mm Hg. Serum lipid studies show a total cholesterol level of 190
mg/dL, HDL-cholesterol level of 40 mg/dL, and triglyceride level of 150 mg/dL. Which of the
following is the most appropriate next step in management?
) Recommend the Step 2 National Cholesterol Education Program diet
) Measure serum LDL-cholesterol level now
) Measure total serum cholesterol level in 5 years
) Prescribe prophylactic aspirin
) Begin treatment with lovastatin






what cholesterol level should make you want to measure fasting lipid profile?? >200??


correct ans given is c. But why would it not be B?? because the screening criterion(ATP panel) and treatment recommendations are based LDL levels


B is incorrect because he does not have any risk factor for coronary disease , is healthy and his total cholesterol is normal (below 200). LDL level are used for treatment in people with abnormal levels of total cholesterol.

In otherwise healthy adults, the cholesterol levels should be checked once every five years.




Thanks for paying our attention to it and giving such a helpful information.


It is C, because even that the LDL is less than 190 he doesn't have any risk factor and the HDL are nl which eliminates one risk factor...


thats the wrong reason for B being wrong...

LDL is always a calculated # that we should know about


so that would ~120 here...

eating a fatty meal will lower ie non fasting will lower ur LDL #!!!!

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