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25 Cards in this Set

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  • Back
61. Type I Dyslipidemia, cause and what lipoprotein is elevated?
a. Exogenous hyperlipidemia
b. Chylomicrons elevated
62. Tx for Type I Dyslipidemia?
a. Diet
63. Type IIa Dyslipidemia, cause and what lipoprotein is elevated?
a. Familial hypercholesterolemia
b. LDL elevated
64. 3 Tx options for type Type IIa Dyslipidemia?
1. Statins
2. Niacin
3. Cholestyramine
65. Type IIb Dyslipidemia, cause and what lipoprotein is elevated?
a. Combined hyperlipoproteinemia
b. LDL and VLDL elevated
66. Tx for type Type IIb Dyslipidemia (3)?
a. Statins
b. Niacins
c. Gemfibrozil
67. Type III Dyslipidemia, cause and what lipoprotein is elevated?
a. Familial Dysbetalipoproteinemia
b. IDL
68. Tx for type Type III Dyslipidemia?
a. Gemfibrozil
b. Niacin
69. Type IV Dyslipidemia, cause and what lipoprotein is elevated?
a. Endogenous hyperlipidemia.
b. VLDL
70. Tx for type Type IV Dyslipidemia?
a. Niacin
b. Gemfibrozil
c. Statins
71. Type V Dyslipidemia, cause and what lipoprotein is elevated?
a. Familial hypertriglyceridemia
b. VLDL + Chylomicrons
72. Tx for Type V Dyslipidemia?
a. Niacin
b. Gemfibrozil
73. 2 options if “white coat HTN” is suspected?
a. 24-hour ambulatory BP monitoring is most effective.
b. Home blood pressure monitoring is an alternative
74. When/how often should people be screened w/fasting lipid profile?
a. Every 5 yrs starting at age 20.
b. Earlier and more frequent screening is recommended for a strong family hx and/or obesity.
75. LDL above what level may significantly increase the risk of CAD?
a. >160.
76. How is LDL calculated?
a. LDL = Total cholesterol –HDL- TG/5.
77. When does the risk of CAD sharply increase?
a. >240.
78. Note: for every 10 mg/dl increase in HDL, CAD risk decrease by 50%.
78. Note: for every 10 mg/dl increase in HDL, CAD risk decrease by 50%.
79. Total cholesterol-to-HDL ratio?
a. The lower the total cholesterol-to-HDL ratio, the lower the risk of CAD.
80. Correlation of total cholesterol-to-HDL ratio?
a. Ratio of 5.0 = average (standard) risk.
b. Ratio of 10 = double the risk
c. Ratio of 20 = triple the risk.
d. Ratio of <4.5 is desirable.
81. Manifestations of severe hyperlipidemia?
a. Xanthelasma –yellow plaques on eyelids.
b. Xanthoma – Hard, yellowish masses found on tendons (finger extensors, Achilles tendon, plantar tendons)
82. What inflammatory condition can occur w/severe hypertriglyceridemia?
a. Pancreatitis.
83. Ideal LDL?
a. <130
84. Ideal Triglycerides?
a. <125.
85. CHD or CHD risk equivalents:
a. LDL goal:
b. Initiate Lifestyle Changes at what level:
c. Consider drug therapy at what level:
1. LDL goal: <100
2. Initiate Lifestyle Changes at what level: 100 (all pts regardless of LDL)
3. Consider drug therapy at what level: 130