USMLE Step 2 - Question 15

A 44 year old male with no significant past medical history presents to his primary care physcician for a routine physical examination. He has no physical complaints. His blood pressure is 115/85, heart rate 80, respirations 12, and he is afebrile. His physical examination reveals normal lung sounds and normal heart sounds. His ECG is normal. Laboratory studies reveal an total cholesterol of 220 mg/dL, LDL 145 mg/dL, HDL 40 mg/dL, and triglycerides of 145 mg/dL. What is the most appropriate treatment?

A. Diet/lifestyle modifications

B. Diet/lifestyle modifications and a HMG-CoA reductase inhibitor

C. Diet/lifestyle modifications, a HMG-CoA reductase inhibitor and niacin

D. No therapy needed