Carotid artery stenosis screening Quiz: Ace Your Exams
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A 55-year-old man presents to his primary care physician for routine examination. He is in his usual state of health. He has hypertension and hyperlipidemia and takes hydrochlorothiazide, rosuvastatin, and aspirin. He exercises regularly and follows a Mediterranean diet. He does not smoke cigarettes. He drinks 1 glass of red wine daily. His father died from a myocardial infarction at the age of 58. Temperature is 36.4 °C (97.5 °F), pulse is 75/min, blood pressure is 123/72 mmHg, and respirations are 14/min. BMI is 23 kg/m2. Cardiopulmonary examination is normal. Carotid artery upstroke is normal. Abdominal examination is normal. Fasting cholesterol levels are obtained and are shown below. Which of the following is the best next step in management?
| Total cholesterol | 158 mg/dL |
| LDL | 90 mg/dL |
| HDL | 46 mg/dL |
| Triglycerides | 110 mg/dL |
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