08-16-2005, 06:00 AM
52 y/o woman w/alcoholism comes after a serum cholesterol 290 was found on a routine screening. drinks a pint of vodka daily, take captopril for HTN and glyburide for type 2 dm. also has intermitten episode of gout
fasting serum studies:
total cholesterol 252
HDL 80
Triglyceride 300
glucose 118
TSH 4.5
which is approp next step in management
a. alcohol cessation
b. better control of diabetes
c. switch from captopril to Ca blocker
d. gemfibrozil therapy
e. thryroid replament
fasting serum studies:
total cholesterol 252
HDL 80
Triglyceride 300
glucose 118
TSH 4.5
which is approp next step in management
a. alcohol cessation
b. better control of diabetes
c. switch from captopril to Ca blocker
d. gemfibrozil therapy
e. thryroid replament