A 49-year-old man with obesity and dyslipidemia asks about primary prevention statins. LDL-C is 98 mg/dL; 10-year ASCVD risk 6%. He is hesitant about ...

Question

A 49-year-old man with obesity and dyslipidemia asks about primary prevention statins. LDL-C is 98 mg/dL; 10-year ASCVD risk 6%. He is hesitant about medications. What is appropriate?

Accepted Answer

Emphasize lifestyle; consider coronary artery calcium (CAC) to refine risk before statin

Answer

Start high-intensity statin immediately

Answer

Start ezetimibe monotherapy

Answer

Start PCSK9 inhibitor

Answer

No assessment of risk enhancers or CAC

us-usmle-step-2 MCQ (SBA): Statin Decision Aids (CAC)

A 49-year-old man with obesity and dyslipidemia asks about primary prevention statins. LDL-C is 98 mg/dL; 10-year ASCVD risk 6%. He is hesitant about medications. What is appropriate?