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Sarah Michelle -- Cardiac Crash Course-Questions & Answers | Latest Already Graded A+ |2026.

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Sarah Michelle -- Cardiac Crash Course-Questions & Answers | Latest Already Graded A+ |2026.

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Sarah Michelle -- Cardiac Crash Course-Questions
& Answers | Latest Already Graded A+ |2026.
What are first line meds in hyperlipidemia?

HMG-CoA reductase inhibitors (statins)



Classified by HOW they reduce LDL

Goals of primary prevention without ASCVD

prevent ASCVD from developing

ASCVD risk calculator

Tool to assess cardiovascular disease risk over the next 10 years.

Patients aged 20-75 with LDL levels >190 need which level of statin?

HIGH INTENSITY

What are the 2 go to high intensity statins?

rosuvastatin (Crestor)

atorvastatin (Lipitor)

what intensity statin is rosuvastatin (Crestor)

high intensity

what intensity statin is atorvastatin (Lipitor)

high intensity

,Patients aged 40-75 with DM -- does their ASCVD risk need to be calculated?

No.



Should be started on a moderate intensity statin bc risk score is already high due to DM

Patients aged 40-75 with LDL 70-189 and an ASCVD risk score of >7.5



WITHOUT DM BUT ELEVATED ASCVD RISK

Need moderate intensity statin MINIMUM

AHA/ACC ASCVD risk cutoff

7.5%

USPSTF ASCVD risk cutoff

10%

What is secondary prevention when prescribing statins?

Prescribing to those who already have a known ASCVD to prevent a future cardiovascular event

What level of statin therapy should those receiving secondary prevention recieve?

High intensity

HyperTRIglyceridemia patients will typically be prescribed what?

Fibrates



Fenofibrate

, If the patients have triglyceride levels over _______ what are they at increased risk for?

over 500



acute pancreatitis

alcohol drinker and triglyceride over 500 at risk for what?

necrotizing pancreatitis -- watch for Cullens and Grey Turner sign send to ED immediately

Cullen sign

bruising around umbilicus (pancreatitis or ectopic pregnancy)

Grey Turner sign

ecchymoses of the flanks associated with fulminant hemorrhagic pancreatitis; very poor

prognostic sign

Which organization has stricter blood pressure guidelines?

ACC/AHA

What are the BP guidelines for JNC-8

140/90 is hypertension



150/90 in patients 60+ with NO UNDERLYING DM or CKD

ACC/AHA Guidelines for HTN

Elevated: systolic 120-129 AND <80 diastolic

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