INSTRUCTIONS Hypertriglyceridemia: A review of the evidence
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Hypertriglyceridemia: A review of the evidence
Purpose: To provide information on the diagnosis and management of patients with hypertriglyceridemia. Learning Objectives/Outcomes: After completing this continuing-education activity, you should be able to: 1. Examine the diagnosis of and risk factors for hypertriglyceridemia. 2. Select management options for patients with hypertriglyceridemia.
- According to the AHA guidelines, TG levels are considered high if they are
- 150 to 199 mg/dL.
- 200 to 499 mg/dL.
- ≥500 mg/dL.
- A lab test used to help exclude alcohol abuse as a secondary cause of hypertriglyceridemia is
- serum creatinine.
- mean cell volume.
- non-HDL cholesterol.
- According to the AACE/ACE joint guidelines, how often should adults older than 20 years be evaluated for dyslipidemia as part of a global risk assessment?
- every year
- every 2 years
- every 5 years
- A cardiovascular risk component of metabolic syndrome includes
- reduced HDL-C ≤ 60 in women.
- elevated TG ≥ 150 mg/dL.
- elevated waist circumference ≥ 33 in for non-Asian women.
- Which form of estrogen can increase TG levels?
- topical transdermal
- Patients with high TGs should be screened for
- HIV infection.
- adrenal insufficiency.
- Which of the following beta-adrenergic blockers tends to cause the lowest increase in TG levels?
- Which antipsychotic medication is more likely to cause hypertriglyceridemia?
- Which statement is correct regarding hypertriglyceridemia?
- The diagnosis of hypertriglyceridemia may be made using fasting or nonfasting lipid levels.
- Eruptive xanthomas from hypertriglyceridemia are usually seen on the face.
- Most patients with hypertriglyceridemia are completely asymptomatic until reaching severe or very severe levels.
- Which nutrition practice typically results in the greatest lowering of TG levels?
- losing 5% to 10% of body weight
- adding marine-derived polyunsaturated fatty acids
- implementing the Mediterranean-style diet
- As noted in the article, if patients remain on very low-fat diets for an extended period, essential fatty acids should be supplemented with any of the following except
- walnut oil.
- sunflower oil.
- palm kernel oil.
- The primary treatment for hypertriglyceridemia is
- long-chain omega-3 fatty acids.
- proprotein convertase subtilisin/kexin type 9 inhibitors.
- lifestyle modifications.
- Which lipid-lowering medication typically is the least effective in reducing TG levels?
- cholesterol absorption inhibitors
- fibric acids
- nicotinic acid
- What is often one of the first-line medical treatment options to mitigate the risk of pancreatitis in patients with very high TG levels?
- long-chain omega-3 fatty acids
- Which of the following is a potential adverse reaction associated with fibrate therapy?
- blurred vision
- Which drug is associated with severe adverse reactions when combined with statins?
- The most common adverse reaction from niacin is
- cutaneous vasodilation.
- The authors note that pioglitazone has a limited use in lipid management secondary to adverse reactions that include an increased risk of
- bladder cancer.