Step 2

Cardiovascular 1

A 49-year-old man is evaluated during a health maintenance visit for his type 2 diabetes mellitus (DM) and hypertension. Current medications are metformin, empagliflozin, chlorthalidone, and candesartan (patient had ACE-inhibitor induced cough). On physical exam, vital signs are normal. Body mass index (BMI) is 25. Triglyceride level is 195 mg/dL. His 10-year risk for atherosclerotic cardiovascular disease (ASCVD) is 4.2%. After a thorough discussion concerning the various cholesterol guidelines, the patient agrees to follow the American Heart Association/American College of Cardiology (AHA/ACC) recommendations for cholesterol management.

Which of the following is the most appropriate treatment?

  • A) High-intensity atorvastatin
  • B) Fenofibrate
  • C) Moderate intensity rosuvastatin
  • D) Red yeast rice
  • E) Colestipol

Authors

Dr. Raj Dasgupta

Editor

Dr. Raj Dasgupta