CVD risk management: Test your skills with these 5 questions
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Gary S. Ferenchick, MD, MS, FACP, is a Professor of Internal Medicine at Michigan State University, in East Lansing. Dr. Ferenchick is also a faculty member of the National Family Medicine Board Review course and creator of www.justintimemedicine.com.

Question 1 of 5

A 62-year-old white woman presents for a health maintenance evaluation. She last saw a physician 5 years ago. Overall, she has been healthy, without any limiting symptoms. She is not taking any medications, does not smoke cigarettes, walks for exercise 2 miles 3 times a week, and has recently retired from a local real estate company where she was an account executive. Her past medical history is benign. Her last colonoscopy was 6 years ago and was normal.

Her physical examination reveals a blood pressure of 138/88 mm Hg, a heart rate of 72 beats/min (bpm) and regular, and a regular respiratory rate of 16 breaths/min. Her body mass index (BMI) is 29. The rest of her physical examination is otherwise unremarkable.

Diagnostic studies reveal a fasting glucose of 98 mg/dL, a hemoglobin A1c of 5.3%, a total cholesterol of 213 mg/dL, and a high-density lipoprotein cholesterol (HDL-C) concentration of 38 mg/dL. A recent mammogram was normal.

The next step in this patient’s cardiovascular disease (CVD) risk management includes:

Adding aspirin 81 mg/d.

Adding simvastatin 20 mg/d

Adding vitamin D 1000 units/d.

Nothing further.

This quiz is not accredited for CME.

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