A 45-year-old has triglycerides 720 mg/dL and LDL-C 118 mg/dL. HbA1c 9.1%, BMI 32 kg/m², drinks 2-3 beers nightly. What is the most appropriate immedi...

Question

A 45-year-old has triglycerides 720 mg/dL and LDL-C 118 mg/dL. HbA1c 9.1%, BMI 32 kg/m², drinks 2-3 beers nightly. What is the most appropriate immediate lipid management?

Accepted Answer

Initiate a fibrate and address secondary causes (glycaemia, alcohol)

Answer

Start low-dose omega-3 only

Answer

Defer therapy; pancreatitis risk is low until TG >1,000 mg/dL

Answer

Start ezetimibe monotherapy

Answer

Start PCSK9 inhibitor first

us-usmle-step-2 MCQ (SBA): Severe Hypertriglyceridemia

A 45-year-old has triglycerides 720 mg/dL and LDL-C 118 mg/dL. HbA1c 9.1%, BMI 32 kg/m², drinks 2-3 beers nightly. What is the most appropriate immediate lipid management?