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Braunwald's Heart Disease Review and Assessment, 10th 2

(BQ) Part 2 book "Braunwald's heart disease - Review and assessment" presents the following contents: Preventive cardiology; atherosclerotic cardiovascular disease; diseases of the heart, pericardium, and pulmonary vascular bed; cardiovascular disease in special populations; cardiovascular disease and disorders of other organs. | Section III CHAPTERS 41 TO 61 3 Preventive Cardiology Atherosclerotic Cardiovascular Disease Neal K. Lakdawala Neil Wimmer and Leonard S. Lilly Directions For each below select the ONE BEST response. QUESTION 295 A 48-year-old man with elevated low-density lipoprotein LDL cholesterol hypertension and a family history of premature coronary disease presents to his physician s office for routine evaluation. He does not have diabetes. He smokes 1 pack of cigarettes per day and is exploring means to quit. His 10-year risk of atherosclerotic cardiovascular disease using the 2013 ACC AHA Pooled Cohort Equations was recently calculated to be 18.8 compared with a 1.7 risk in a similarly aged man with optimal risk factors. He also has a history of supraventricular tachycardia that has been successfully suppressed by verapamil after not tolerating a beta-blocker. He is currently taking simvastatin 20 mg daily verap amil sustained-rel e8se 180 mg daily and aspirin 81 mg daily. His blood pressure is 138 70 mm Hg. Laboratory studies include total cholesterol 250 mg dL HDL cholesterol 42 mg dL LDL cholesterol 166 mg dL and triglycerides 210 mg dL. The hepatic transaminase levels are normal. Which of the following is the most appropriate recommendation regarding lipid-altering therapy A . He dnes not dave edtive uoronary adteiy -Hs u 5 no further adjustment in medication is required iBm. vSastatin should be increased to 40 mg daily iCm. vSastatin should be increased to 80 mg daily D. Rcplace slmoautatin wito a-osoaut atm 20 mg daily or rosuvastatin 10 mg daily E. Gemfib ro 50 mg twice daily should be added QUESTION 296 All of the following interventions have a blood pressurelowering effect ExCepT dAi.eAt that reduces caloric intake by 1000 calories per day B. Reion tèo n of dietaod sonum C. Dmily masnesium cad calcĩum spepiuments D. ReSeutiod of uUhwI coesumutivd ts than 1 oz L3 0dm QUESTION 297 With respect to renovascular hypertension which of the following statements is correct