USMLE Step 2 - Question 29

A 55 year old male with a history of hypertension has the following fasting lipid profile:

Total cholesterol 240 mg/dL
LDL cholesterol 98 mg/dL
HDL cholesterol 35 mg/dL
Triglycerides 140 mg/dL

Which of the following is the most appropriate treatment?

A. Diet and lifestyle modifications

B. Start niacin

C. Start gemfibrozil

D. Start an HMG-CoA reductase inhibitor

E. No therapy is needed