Step 2

Infectious Disease 3

A 45-year-old man with HIV, who has been on antiretroviral therapy for the past year, comes in for routine follow up. He has been tolerating the antiretroviral therapy well and has no complaints. He is a current cigarette smoker. He used intravenous drugs in the past but is currently not using any illicit drugs. His vitals are normal. His BMI is 26.9kg/m^2. His fasting lipid panel is as follows:

  • Total Cholesterol 250mg/dL
  • HDL 30 mg/dL
  • LDL 153 mg/dL
  • Triglycerides 340mg/dL

Besides recommending lifestyle modifications, what is the best next step in management of this patient?

  • A) Stop antiretroviral therapy
  • B) Start pravastatin
  • C) Start gemfibrozil
  • D) Start nicotinic acid
  • E) Order ACTH stimulation Test


Marina Tawadrous


Dr. Raj Dasgupta