Exam 24: Antihyperlipidemic Agents

A primary care NP sees a 46-year-old male patient and orders a fasting lipoprotein profile that reveals LDL of 190 mg/dL,HDL of 40 mg/dL,and triglycerides of 200 mg/dL.The patient has no previous history of coronary heart disease,but the patient's father developed coronary heart disease at age 55 years.The NP should prescribe:

A patient who has diabetes is taking simvastatin (Zocor)80 mg daily to treat LDL cholesterol level of 170 mg/dL.The patient has a body mass index of 29.At a follow-up visit,the patient's LDL level is 120 mg/dL.The primary care NP should consider:

A patient with primary hypercholesterolemia is taking an HMG-CoA reductase inhibitor.All of the patient's baseline LFTs were normal.At a 6-month follow-up visit,the patient reports occasional headache.A lipid profile reveals a decrease of 20% in the patient's LDL cholesterol.The NP should:

A patient who has type 2 diabetes mellitus will begin taking a bile acid sequestrant.Which bile acid sequestrant should the primary care NP order?

A patient who has primary hyperlipidemia and who takes atorvastatin (Lipitor)continues to have LDL cholesterol of 140 mg/dL after 3 months of therapy.The primary care NP increases the dose from 10 mg daily to 20 mg daily.The patient reports headache and dizziness a few weeks after the dose increase.The NP should:

A 55-year-old woman has a history of myocardial infarction (MI).A lipid profile reveals LDL of 130 mg/dL,HDL of 35 mg/dL,and triglycerides 150 mg/dL.The woman is sedentary with a body mass index of 26.The woman asks the primary care NP about using a statin medication.The NP should:

A patient who has hyperlipidemia has been taking atorvastatin (Lipitor)60 mg daily for 6 months.The patient's initial lipid profile showed LDL of 180 mg/dL,HDL of 45 mg/dL,and triglycerides of 160 mg/dL.The primary care NP orders a lipid profile today that shows LDL of 105 mg/dL,HDL of 50 mg/dL,and triglycerides of 120 mg/dL.The patient reports muscle pain and weakness.The NP should:

The primary care nurse practitioner (NP)sees a patient for a physical examination and orders laboratory tests that reveal low-density lipoprotein (LDL)of 100 mg/dL,high-density lipoprotein (HDL)of 30 mg/dL,and triglycerides of 350 mg/dL.The patient has no previous history of coronary heart disease.The NP should consider prescribing: