A 58-year-old has a QRISK3 10-year cardiovascular risk of 12 percent. What is the most appropriate step?
Answer and explanation
Correct answer: C. Discuss lifestyle and offer atorvastatin for primary prevention
- Step 1: NICE advises offering a statin for primary prevention when the QRISK3 10-year risk is 10 percent or higher. Step 2. Discussion of risk, lifestyle and the benefits of atorvastatin is done together. Answer: Discuss lifestyle and offer atorvastatin for primary prevention. Why not the others: Statins are also used in primary prevention. Aspirin for primary prevention is not recommended. Fibrates are not first-line lipid-lowering treatment.
Practise more Cardiovascular medicine.
Free questions with an explanation for every one, and full timed UKMLA Applied Knowledge Test (MSRA-style single best answer) mock tests.
More Cardiovascular medicine questions
- A man has had 3 hours of crushing chest pain and the ECG shows ST elevation in leads V2 to V5. The nearest primary PCI centre can deliver tr…
- Which immediate drug should be offered to a patient with suspected acute coronary syndrome unless contraindicated?
- Which drug class has been shown to reduce mortality in chronic heart failure with reduced ejection fraction?
- A 72-year-old woman with non-valvular atrial fibrillation has hypertension and type 2 diabetes but no other relevant history. What is her CH…
- A 48-year-old man has non-valvular atrial fibrillation and hypertension, and no other risk factors. Which statement reflects NICE guidance o…
- Which anticoagulant is the appropriate choice for stroke prevention in a patient with atrial fibrillation and a mechanical mitral valve?