A 33-Year-Old Man Comes to the Office for a Routine

question 230

Multiple Choice

A 33-year-old man comes to the office for a routine health maintenance visit.  The patient states he wants to make sure he is taking care of his health after his father had a myocardial infarction a few months ago at the age of 61.  He has been eating healthy and exercising 3 to 4 times a week.  Past medical history is noncontributory, and the patient takes no medications.  He shares that his aunt is an herbalist and recently gave him a supplement that is supposed to help prevent cardiovascular disease.  The patient asks whether it is okay to start taking the supplement and provides a list of the ingredients, which includes herbs unfamiliar to the physician.  Which of the following is the most appropriate response?

• A)"I suggest not starting the supplement because you're already taking steps to maintain cardiovascular health by eating healthy and exercising."
• B)"I'll need to read more about this combination of herbs, so I'll do some research and let you know what I find."
• C)"I'm not familiar with these herbs, but studies have shown that herbs don't have significant effects on preventing cardiovascular disease."
• D)"This supplement probably won't prevent cardiovascular disease, but it's likely safe for you to take if you want to."
• E)"Unfortunately, I don't know enough information about these herbs, so I can't make a recommendation."

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