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