FNP 1 FINAL EXAM / Fnp Final Exam Latest Update 2024
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FNP 1 / Fnp Fatest Update 20
Institution
FNP 1 / Fnp Fatest Update 20
FNP 1 FINAL EXAM / Fnp Final Exam Latest Update 2024
Mr. C is a 76 year old male presents to you with a history of a MI 5 years ago, he recently went to a health fair and was told to see his Primary Care provider because his cholesterol is high. He is currently on Pravastatin 20mg QD.
The results...
FNP 1 FINAL EXAM /
Fnp Final Exam Latest
Update 2024
Mr. C is a 76 year old male presents to you with a history of a MI 5 years ago, he
recently went to a health fair and was told to see his Primary Care provider because
his cholesterol is high. He is currently on Pravastatin 20mg QD.
The results of his lipid panel are:
Total Cholesterol 250
HDL 38
Triglycerides 150
LDL 130
Which of the following would be your next step
Counsel on life style modifications, continue Pravastatin 20mg, refer to
cardiologist
, Counsel on life style modifications, change statin to Rosuvastatin 40mg QPM
Counsel on life style modifications, Refer to cardiologist
Counsel on life style modifications, change to atorvasastin 10mg QPM -
✔✔✔ANSWER-B. Counsel on life style modifications, change statin to
Rosuvastatin 40mg QPM
Right Answer
According to the American College of Cardiology
"In patients with clinical ASCVD, reduce low density lipoprotein cholesterol
(LDL-C) with high intensity statin therapy or maximally tolerated statin therapy"
(Grundy, 2018)
Short acting Statins - ✔✔✔ANSWER-Simvastatin, Pravastatin, Fluvastatin
Long acting Statins - ✔✔✔ANSWER-Atorvastin and Rosuvastatin
History of MI - ✔✔✔ANSWER-This patient with his history of MI puts him in the
category of Clinical ASCVD with a very high risk of ASCVD and should be
treated with high-intensity statin therapy
Mr C returns to see you after 3 months of being on rosuvastatin 40 mg He had
fasting blood work done yesterday. His CMP was normal. The results of his lipid
panel are:
Total Cholesterol 200
HDL 40
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