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Lipid disorder

  1. When to start screening men for lipid disorder?
    35 years or older
  2. When to start screening women for lipid disorder?
    45 years or older
  3. When to start screening men and women who are at increased risk for cardiovascular disease?
    Over 20 years old
  4. What are some major risk factors for coronary heart disease?
    • Cigarette smoking
    • Hypertension
    • Old age (men > 45, women >55)
    • Low HDL (<40 mg/dL)
    • Elder family hx of premature coronary artery disease
  5. At what ages does coronary artery disease considered premature?
    • Men <55 years
    • Female <65 years
  6. What is a normal cholesterol level?
    <200 mg/dL
  7. What is normal triglyceride?
    <150 mg/dL
  8. What is normal HDL?
    >39 mg/dL
  9. What is normal LDL?
    <130 mg/dL
  10. True/False: higher the HDL the better
    True
  11. True/False: HDL >60 mg/dL is a “negative risk factor” and takes away one of the risk factors
    True
  12. What are the main major risk factors for hyperlipidemia?
    • Dietary factors
    • Genetic factors
    • And secondary causes
  13. What is a cause for high triglyceride and low HDL?
    • Physical inactivity
    • Obesity
  14. True/False: dietary changes is always indicated along with medication therapy
    True
  15. How to treat a 20 year old with elevated triglyceride (175-499 mg/dL)
    Treat lifestyle factors and secondary factors
  16. How to treat a 40-75 yo with mod-severe hypertriglycemia and at risk for ASCVD?
    Consider statin
  17. How to treat a 40-75 yo with elevated triglyceride >500 mg/dL and at risk for ASCVD?
    Start statin
  18. How to treat if a patient’s fasting triglyceride is over 1000 mg/dl?
    On very low fat diet, omega-3 fatty acid
  19. Which is the major atherogenic lipoprotein: LDL or HDL?
    LDL
  20. True/False: Exercise can increase HDL by 1-4 mg/dl depending on intensity of activity
    True
  21. What is the calculated 10 yr ASCVD risk for a DM patient (LDL > 70) ages 40-75, to start on high-intensity statin?
    >7.5%
  22. What is the calculated 10 yr ASCVD risk for a DM patient (LDL >70) ages 40-75, to start on mod-sever intensity statin?
    <7.5%
  23. What is the calculated 10 yr ASCVD risk for a non-DM pt (LDL >70) ages 40-75 to start moderate-intensity statin?
    >7.5-19.0%
  24. What is the calculated 10 yr ASCVD risk for a non-DM (LDL >70) pt ages 40-75 to start on high-intensity statin?
    >20%
  25. What is the treatment for patient LDL > 190 mg/dL?
    High intensity statin therapy
  26. Is there such thing as low-intensity statin therapy?
    No, just high and moderate-intensity statin therapy
Author
lykthrnn
ID
345107
Card Set
Lipid disorder
Description
Cardiovascular Final
Updated

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