lipid lowering

Question 1

conditions that can lead to secondary hyperlipidemia

Answer 1

DM
hypothyroidism
obstructive liver disease
chronic renal failure

obesity
nephrotic syndrome

Question 2

drugs that can lead to secondary hyperlipidemia

Answer 2

protease inhibitor
corticosteroids
anabolic steroids
progestins - many birth control products

Question 3

total cholesterol levels (normal)

Answer 3

desirable <200 mg/dL

borderline = 200 - 239 mg/dL

high > 240 mg/dL

Question 4

HDL levels normal

Answer 4

<40 - low, want at least 40

> 60 high! Good!

Question 5

LDL Cholesterol normal

Answer 5

optimal <100

near optimal 100-129

borderline high 130-159

high 160-189

very high >190

high and very high should be managed on statins

Question 6

12 risk factors for ASCVD `

Answer 6

1. Family history
2. gender
3. age
4. race
5. chronic LDL >160
6. HDL - cholesterol low
7. HTN
8. DM
9. Smoker
10. Renal disease
11. Metabolic syndrome,
12. history of pre-eclampsia

Question 7

intensity of statin management based on

Answer 7

presence of clinical ASCVD
risk of developing ASCVD
presence of DM with/without hyperlipidemia
presence of isolated hyperlipidemia