12-15-2007, 03:47 PM
31. An asymptomatic 47-year-old man comes for a preemployment examination. He has never been hospitalized. He is a computer programmer, and he plays handball once weekly. His maternal grandmother had type 2 diabetes mellitus, and a paternal uncle had heart disease. The patient's blood pressure is 126/80 mm Hg. Examination shows no abnormalities. His total serum cholesterol level is 225 mg/dL. Which of the following is the most appropriate next step in management?
A
) Step 2 American Heart Association cardiac diet
B
) Serum lipid studies while fasting
C
) Exercise stress test
D
) Oral cholestyramine and niacin therapy
E
) Oral pravastatin therapy at bedtime
A
) Step 2 American Heart Association cardiac diet
B
) Serum lipid studies while fasting
C
) Exercise stress test
D
) Oral cholestyramine and niacin therapy
E
) Oral pravastatin therapy at bedtime