American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

The MKSAP Challenge

From the July-August ACP Observer, copyright © 2006 by the American College of Physicians.

Clinical Scenario

A 53-year-old man with a recent inferior myocardial infarction and a 12-year history of hypertension and type 2 diabetes mellitus is recovering in the hospital.

He has been diligent in the care of his diabetes. He has a normal body mass index, exercises at least five days a week for 30 minutes, and eats a heart-prudent diet including fruit, fiber and vegetables. His current medications include metformin and an angiotensin-converting enzyme inhibitor.

On examination, his blood pressure is 120/70 mm Hg and pulse rate is 70/min. He has an S4 at the cardiac apex; the rest of his examination is normal. Laboratory studies show a total cholesterol of 160 mg/dL with LDL cholesterol of 98 mg/dL, HDL cholesterol of 32 mg/dL and a triglyceride level of 190 mg/dL.

Which of the following interventions is most likely to achieve the desired LDL cholesterol goal?

A. Atorvastatin
B. Cholestyramine
C. Fenofibrate
D. Intensive life-style modification

Answer

Top

This is a printer-friendly version of this page

Print this page  |  Close the preview

Share

 
 

Internist Archives Quick Links

What will you learn from your Annals Virtual Patient?

Reviews of the World's Top Medical Journals—FREE to ACP Members! Annals Virtual Patients is a unique patient care simulator that mirrors real patient care decisions and consequences. CME Credit and MOC Points are available. Start off with a FREE sample case. Start your journey now.

Products and Resources for Patients

Products and Resources for PatientsACP has developed easy- to-use materials designed to help educate your patients on self-management of a wide variety of common health conditions. Order yours today!