MKSAP: 70-year-old man with a transient ischemic attack

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 70-year-old man is admitted to the hospital with a 1-hour episode of left arm and left leg weakness. He is diagnosed with a transient ischemic attack. The patient has a history of hypertension and type 2 diabetes mellitus and a 30-pack-year history of smoking. Family history is noncontributory. His medications are metformin and lisinopril. On physical examination, the patient is afebrile, and blood pressure is 148/88 mm Hg. The remainder of the examination is unremarkable. Laboratory studies show alanine aminotransferase 28 U/L, total cholesterol 239 mg/dL (6.19 mmol/L), LDL cholesterol 140 mg/dL (3.63 mmol/L), HDL cholesterol 38 mg/dL (0.98 mmol/L), serum creatinine 0.8 mg/dL (70.7 µmol/L), and triglycerides 302 mg/dL (3.41 mmol/L). In addition to aspirin, which of the following is the most appropriate treatment? A. Atorvastatin, high-intensity dosage B. Atorvastatin, moderate-intensity dosage C. Fenofibrate D. Fenofibrate and atorvastatin, high-intensity dosage Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Cardiology Neurology Source Type: blogs