Hyperlipidemias and Atherosclerotic Cardiovascular Disease

Course #90845 - $60-


Self-Assessment Questions

    1 . Atherosclerotic cardiovascular disease (ASCVD) accounts for approximately what percentage of deaths in the United States?
    A) 10%
    B) 26%
    C) 31%
    D) 55%

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    2 . Approximately what percentage of Americans 20 years of age or older have total blood cholesterol levels in excess of 240 mg/dL?
    A) 5%
    B) 8%
    C) 11.5%
    D) 15%

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    3 . Which of these statements regarding atherosclerosis is TRUE?
    A) Atherosclerosis is initiated during middle-age.
    B) Atherosclerosis is a process that targets small sized arteries.
    C) Atherosclerosis is rapidly accelerated by genetic and environmental factors.
    D) All of the above

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    4 . All of the following are progressive stages of atherosclerosis, EXCEPT:
    A) plaque formation.
    B) plaque disruption.
    C) fatty streak formation.
    D) high-density lipoprotein.

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    5 . Which of the following is NOT considered a biomarker for ASCVD?
    A) Age
    B) Lipoprotein(a)
    C) C-reactive protein
    D) Hyperhomocysteinemia

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    6 . The role of lipoprotein(a) in atherogenesis relates to a variety of mechanisms, EXCEPT:
    A) low affinity for the LDL-receptor.
    B) decelerated smooth cell proliferation.
    C) enhanced capacity to traverse the arterial endothelium.
    D) inhibition of fibrinolysis by preventing the transformation of plasminogen to plasmin.

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    7 . Dietary lipids account for what percentage of calories in western diets?
    A) 10% to 20%
    B) 20% to 30%
    C) 30% to 40%
    D) 40% to 50%

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    8 . What is the main site of lipid transformation and absorption?
    A) Mouth
    B) Stomach
    C) Small intestine
    D) Large intestine

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    9 . Which of the following statements regarding chylomicrons is FALSE?
    A) Chylomicrons are only synthesized in the intestine.
    B) Chylomicrons are composed mainly of triglycerides.
    C) Chylomicrons are large lipoproteins very rich in lipids.
    D) Chylomicrons have the highest protein content of any lipoprotein.

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    10 . Increased LDL levels can result from
    A) a deficiency of estrogens.
    B) a deficiency of thyroid hormones.
    C) genetic mutations of either the LDL receptor or Apo B-100.
    D) All of the above

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    11 . Which of the following statements regarding HDLs is TRUE?
    A) HDLs are the largest lipoproteins.
    B) The protein content of HDLs is 33%.
    C) HDL removes cholesterol from the periphery and transports it to the kidneys.
    D) The two most important subclasses of HDL express either Apo A-II alone or both Apo A-I and A-II.

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    12 . Research has shown that moderate-to-high HDL levels may help to prevent ASCVD. The main goal for patients with hyperlipidemias should be to
    A) increase HDL levels.
    B) decrease LDL levels.
    C) increase triglyceride levels.
    D) All of the above

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    13 . As primary hyperlipidemia progresses, the following signs and symptoms develop, EXCEPT:
    A) obesity.
    B) lipemic plasma.
    C) eruptive xanthomas.
    D) severe hypertriglyceridemia.

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    14 . With an incidence greater than 25% in the United States, the most common form of hyperlipidemia is
    A) atherogenic dyslipidemia.
    B) familial hypertriglyceridemia.
    C) familial hypercholesterolemia.
    D) polygenic hypercholesterolemia (or nonfamilial hypercholesterolemia).

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    15 . Secondary hyperlipidemias can be precipitated by the use of certain medication treatments. These treatments include estrogen therapy, atypical antipsychotics, corticosteroids, and
    A) statins.
    B) fibrates.
    C) thiazides.
    D) antioxidants.

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    16 . Secondary hyperlipidemia with elevated cholesterol is the main dyslipidemia in patients with
    A) obesity.
    B) alcohol abuse.
    C) chronic renal failure.
    D) hormone replacement therapy.

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    17 . The primary goal of lipid therapy in high-risk patients is to reduce LDL cholesterol by
    A) 10%.
    B) 25%.
    C) 40%.
    D) 50% or more.

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    18 . The 2018 and 2019 AHA/ACC guideline recommendations for a heart-healthy dietary pattern include all of the following, EXCEPT:
    A) Low-fat dairy products
    B) Increased calories from trans fats
    C) Fruits, vegetables, and whole grains
    D) No more than 5% to 6% of calories from saturated fats

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    19 . Which of the following statements regarding lipid management through lifestyle change is TRUE?
    A) Lipid lowering goals can usually be achieved on one's own.
    B) Lipid lowering through diet and exercise will not reduce the risk for ASCVD and mortality.
    C) Successful lipid control usually requires instruction by a dietitian or other knowledgeable healthcare professional.
    D) In patients with high cardiovascular risk and/or very high LDL, medication therapy should be initiated if lifestyle changes are not effective within a two- to three-month period.

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    20 . Bile acids are the source of what percentage of cholesterol in the intestine?
    A) 25%
    B) 50%
    C) 75%
    D) 100%

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    21 . The cholesterol absorption inhibitor ezetimibe can increase the efficacy of what other treatment by 25%?
    A) Statins
    B) Niacin
    C) Fish oil
    D) Fibrates

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    22 . Of the following, which statin is among the most effective in its class?
    A) Lovastatin
    B) Fluvastatin
    C) Pravastatin
    D) Simvastatin

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    23 . In addition to lowering lipid levels, statins are thought to have all of the following pleiotropic effects, EXCEPT:
    A) neuroprotection.
    B) modulation of endothelial function.
    C) an increase in vascular inflammation.
    D) immunomodulation by inhibition of major histocompatibility complex II expression.

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    24 . To achieve optimum lipid control in patients with dyslipidemia, the initial dosage of any statin should be based on which factor?
    A) Age
    B) Cost
    C) Body mass
    D) LDL percentage reduction

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    25 . Compared to statin monotherapy, bile acid-binding resin/statin combinations decrease LDL levels by what percentage?
    A) 8% to 10%
    B) 18% to 20%
    C) 20% to 30%
    D) 40% to 50%

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    26 . Niacin, or nicotinic acid, is also known as what vitamin?
    A) Vitamin B3
    B) Vitamin D2
    C) Vitamin E2
    D) Vitamin B12

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    27 . Which of the following statements regarding niacin is TRUE?
    A) It has high cost.
    B) It is no longer recommended, except in specific clinical situations.
    C) Randomized controlled trials support is use as an add-on to statin therapy.
    D) It has been shown to reduce ASCVD outcomes beyond that achieved with statins.

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    28 . Omega-3 fatty acids are abundant in what dietary sources?
    A) Walnuts
    B) Fatty fish
    C) Canola oil
    D) All of the above

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    29 . Because they can be synthesized in the body, which of these fatty acids are considered non-essential?
    A) Omega-3 fatty acids
    B) Omega-6 fatty acids
    C) Omega-9 fatty acids
    D) None of the above

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    30 . According to the AHA/ACC, for patients 75 years of age or younger with clinical ASCVD on high-intensity therapy, the target percentage LDL reduction should be
    A) 10%.
    B) 20%.
    C) 40%.
    D) 50% or greater.

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