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NBME 18 Answers

nbme18/Block 3/Question#46

45 yo man for annual health maintenance examination


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Many students will get this question wrong because of a similar question on Uworld. This patient has an extremely high triglyceride level and has no history of cardiovascular disease. Fibrates should be prescribed to prevent pancreatitis.

According to the AHA every patient with TG above 500 should receive fibrates, even though statins can decrease TG levels.