Bumba's Q collection 13 - bumbaonline

[ArchivalUser]

Gilda Radner is a 57-year-old woman with hypertension who presents for routine follow up. You met her one month ago, when she presented as a new patient. She had not seen a physician for over ten years when you first met her, but she had been diagnosed with hypertension in the past. Since her last visit, she came in for fasting blood work, and comes in today to review her results. Of interest, she is a non-smoker. Her mother died of a myocardial infarction at age 67, and her father is 75 and has hypertension and an abdominal aortic aneurysm. Laboratory results are as follows:

Basic Metabolic Panel: Normal (glucose 97mg/dl)

Lipid Profile: Total cholesterol 237mg/dl
HDL-cholesterol 57mg/dl
LDL-cholesterol 140mg/dl
Triglycerides 200mg/dl

Which of the following statements is true?
A. Women aged 55 and older are said to have one cardiovascular risk based on their age.
B. Her HDL-cholesterol is less than 60mg/dl, and is therefore a major cardiovascular risk factor.
C. Her father's age of 75 is considered a "CHD risk equivalent" condition
D. Triglycerides are considered elevated only when they are greater than 500mg/dl

[ArchivalUser]

aa

[ArchivalUser]

After exclusion A?

[ArchivalUser]

A.

[ArchivalUser]

a...

[ArchivalUser]

A. Correct. Men aged 45 and older, and women aged 55 and older are given one cardiovascular risk based on
age.
B. Incorrect. HDL-C < 40mg/dl is a major risk factor for CHD. HDL-C > 60mg/dl is protective against CHD,
and counts as a "negative" risk factor for CHD.
C. Incorrect. CHD risk-equivalent conditions include diabetes, peripheral vascular disease, cerebrovascular
disease and abdominal aortic aneurysm.
D. Incorrect. Triglycerides are considered high when they are greater than 200mg/dl.
Summary Answer
The correct answer is A: Women aged 55 and older are said to have one cardiovascular risk based on their age.

[ArchivalUser]

thank U