Please answer the two questions. You have only ONE attempt for this assessment.
1. A 56 year old female presents to your clinic complaining of increasing difficulty with her heavy housework and playing tennis, singles or doubles. She is a non-smoker but is a little overweight and is currently being treated for high blood pressure. She does
not have diabetes and does not know if she has hyperlipidemia or not. She has had
chest pain in the past, but none currently, and she had a coronary angiogram about a year
ago, which was negative. Which of the below conditions is the most likely cause of her
difficulty?
A. She has large coronary vessel disease.
B. She has unstable angina.
C. She has stable angina.
D. She has microvascular cardiovascular disease
* You can review the medication reference list by clicking here.
2. The interdisciplinary team is seeing a patient in clinic and you are in the midst of debating what type of therapy you need to utilize. The new guidelines were recently released and not all members of the healthcare team are aware of all of the updates.
Your patient is a 57 year old African American female non-smoker, who was recently
diagnosed with diabetes. Currently she is not taking any medication. Her recent labs
show her total cholesterol as 188 mg/dL, HDL is 45 mg/dL, A1c% is 6.7%. Her blood
pressure today is 138/72 mmHg. Based on her recent labs, past medical history, and
social history, her 10-year ASCVD risk score is 12.6%. Based on the patient’s factors
and recent guidelines, which of the following statin therapies is most appropriate for
this patient?
A. Atorvastatin 20 mg
B. Lovastatin 20 mg
C. Pitavastatin 4 mg
D. Rosuvastatin 20 mg
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