SARAH MICHELLE -- Cardiac Crash
Course Questions and Verified Solutions
2025 Top Rated
What are first line meds in hyperlipidemia?
HMG-CoA reductase inhibitors (statins)
Classified by HOW they reduce LDL
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)
Patients aged 40-75 with DM -- does their ASCVD risk need to
be calculated?
No.
Should be started on a moderate intensity statin
,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.... what are
they at increased risk for?
over 500
, acute pancreatitis specifically necrotizing pancreatitis -- watch for
Cullens and Grey Turner sign send to ED immediately
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: 120-129 AND <80 diastolic
Stage I HTN: 130-139/80-89
Stage II HTN: >140/90
How many readings do we need to diagnose HTN?
2 separate readings on 2 separate occasions
**ALSO GO W HIGHER STAGING IF SYS & DIASTOLIC FALL
IN 2 DIFF CATEGORIES
How do we treat Stage 1 HTN WITHOUT ASCVD risk?
Lifestyle modifications & reassess in 3-6 months
How do we treat Stage 1 HTN WITH established ASCVD risk
of 10% or greater?
Course Questions and Verified Solutions
2025 Top Rated
What are first line meds in hyperlipidemia?
HMG-CoA reductase inhibitors (statins)
Classified by HOW they reduce LDL
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)
Patients aged 40-75 with DM -- does their ASCVD risk need to
be calculated?
No.
Should be started on a moderate intensity statin
,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.... what are
they at increased risk for?
over 500
, acute pancreatitis specifically necrotizing pancreatitis -- watch for
Cullens and Grey Turner sign send to ED immediately
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: 120-129 AND <80 diastolic
Stage I HTN: 130-139/80-89
Stage II HTN: >140/90
How many readings do we need to diagnose HTN?
2 separate readings on 2 separate occasions
**ALSO GO W HIGHER STAGING IF SYS & DIASTOLIC FALL
IN 2 DIFF CATEGORIES
How do we treat Stage 1 HTN WITHOUT ASCVD risk?
Lifestyle modifications & reassess in 3-6 months
How do we treat Stage 1 HTN WITH established ASCVD risk
of 10% or greater?
