A 58-year-old man with LDL-C 138 mg/dL, hypertension, and a 10-year ASCVD risk of 12% (no diabetes) seeks primary prevention advice. What statin strat...

Question

A 58-year-old man with LDL-C 138 mg/dL, hypertension, and a 10-year ASCVD risk of 12% (no diabetes) seeks primary prevention advice. What statin strategy aligns with current guidance?

Accepted Answer

Initiate a moderate-intensity statin and reassess adherence and LDL-C response

Answer

Initiate high-intensity statin only if LDL-C ≥190 mg/dL

Answer

No statin; focus on lifestyle measures alone

Answer

Start ezetimibe monotherapy

Answer

Initiate PCSK9 inhibitor therapy for primary prevention at this risk level

us-abfm MCQ (SBA): Primary Prevention with Statins

A 58-year-old man with LDL-C 138 mg/dL, hypertension, and a 10-year ASCVD risk of 12% (no diabetes) seeks primary prevention advice. What statin strategy aligns with current guidance?