03-12-2009, 02:42 PM
A 50-year-old man presents to a
health center for routine care. His
last visit was 5 years ago and he has
no complaints. He has been smoking
1 pack of cigarettes a day since
he was 15 years old. When counseled
about his smoking, he says he
has no intention of quitting and feels
fine. He drinks two alcoholic beverages
per week. Records show that
his blood cholesterol is 235 mg/dL,
with an HDL level of 40 mg/dL and
an LDL level of 140 mg/dL. He has
no family history of coronary artery
disease (CAD). His height is 5 10
and he weighs 170 lbs. His blood
pressure is 110/75 mm Hg
: What is the most appropriate
approach to promote smoking cessation
for this patient?
a. Refer him to classes for smoking
cessation and reassess progress in 2
weeks
b. Provide self-help materials and
reassess in 3 months
c. Prescribe nicotine replacement therapy
and reassess progress in 2 weeks
wijdan38: d. Set a quit date with the patient and
reassess his situation 2 days after
this date
e. Give clear, personalized advice to
quit and readdress the issue at the
next visit .
His blood cholesterol is repeated,
and the results are the
same. Which of the following is the
most appropriate intervention for
his lipid profile?
a. Repeat blood cholesterol in 1 year;
no therapy is indicated
b. Recommend one alcoholic drink
per day
c. Recommend dietary therapy
d. Recommend dietary and drug therapy
e. Recommend dietary therapy; if ineffective,
add drug therapy.
health center for routine care. His
last visit was 5 years ago and he has
no complaints. He has been smoking
1 pack of cigarettes a day since
he was 15 years old. When counseled
about his smoking, he says he
has no intention of quitting and feels
fine. He drinks two alcoholic beverages
per week. Records show that
his blood cholesterol is 235 mg/dL,
with an HDL level of 40 mg/dL and
an LDL level of 140 mg/dL. He has
no family history of coronary artery
disease (CAD). His height is 5 10
and he weighs 170 lbs. His blood
pressure is 110/75 mm Hg
: What is the most appropriate
approach to promote smoking cessation
for this patient?
a. Refer him to classes for smoking
cessation and reassess progress in 2
weeks
b. Provide self-help materials and
reassess in 3 months
c. Prescribe nicotine replacement therapy
and reassess progress in 2 weeks
wijdan38: d. Set a quit date with the patient and
reassess his situation 2 days after
this date
e. Give clear, personalized advice to
quit and readdress the issue at the
next visit .
His blood cholesterol is repeated,
and the results are the
same. Which of the following is the
most appropriate intervention for
his lipid profile?
a. Repeat blood cholesterol in 1 year;
no therapy is indicated
b. Recommend one alcoholic drink
per day
c. Recommend dietary therapy
d. Recommend dietary and drug therapy
e. Recommend dietary therapy; if ineffective,
add drug therapy.