1 NR 508 WEEK 3 EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ The overall goal of treating hyperlipidemia is: 1. Maintain an LDL level of less than 160 mg/dL 2. To reduce atherogenesis 3. Lowering apo B, one of the apoliproteins 4. All of the above Correct Answer: 2. To reduce atherogenesis When considering which cholesterol -lowering drug to prescribe, whi ch factor determines the type and intensity of treatment? 1. Total LDL 2. Fasting HDL 3. Coronary artery disease risk level 4. Fasting total cholesterol Correct Answer: 3. Coronary artery disease risk level 2 First -line therapy for hyperlipidemia is: 1. Statins 2. Niacin 3. Lifestyle changes 4. Bile acid -binding resins Correct Answer: 3. Lifestyle changes James is a 45 -year -old patient with an LDL level of 120 and normal triglycerides. Appropriate first -line therapy for James may include diet counse ling, increased physical activity, and: 1. A statin 2. Niacin 3. Sterols 4. A fibric acid derivative Correct Answer: 3. Sterols Joanne is a 60 -year -old patient with an LDL of 132 and a family history of coronary artery disease. She has already tried die t changes (increased fiber and plant sterols) to lower her LDL and after 6 months her LDL is slightly higher. The next step in her treatment would be: 1. A statin 3 2. Niacin 3. Sterols 4. A fibric acid derivative Correct Answer: 1. A statin Sharlene is a 65-year -old patient who has been on a lipid -lowering diet and using plant sterol margarine daily for the past 3 months. Her LDL is 135 mg/dL. An appropriate treatment for her would be: 1. A statin 2. Niacin 3. A fibric acid derivative 4. Determined by her risk factors Correct Answer: 4. Determined by her risk factors Phil is a 54 -year -old male with multiple risk factors who has been on a high -dose statin for 3 months to treat his high LDL level. His LDL is 135 mg/dL and his triglycer ides are elevated. A reasonable change in therapy would be to: 1. Discontinue the statin and change to a fibric acid derivative. 2. Discontinue the statin and change to ezetimibe. 3. Continue the statin and add in ezetimibe. 4 4. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia. Correct Answer: 3. Continue the statin and add in ezetimibe. Jamie is a 34 -year -old pregnant woman with familial hyperlipidemia and elevated LDL levels. What is the appropriate treatment for a pregnan t woman? 1. A statin 2. Niacin 3. Fibric acid derivative 4. Bile acid -binding resins Correct Answer: 4. Bile acid -binding resins Han is a 48 -year -old diabetic with hyperlipidemia and high triglycerides. His LDL is 112 mg/dL and he has not tolerated stat ins. He warrants a trial of a: 1. Sterol 2. Niacin 3. Fibric acid derivative 4. Bile acid -binding resin Correct Answer: 3. Fibric acid derivative
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