A 46-Year-Old Man Comes to the Office to Follow Up

question 438

Multiple Choice

A 46-year-old man comes to the office to follow up mixed hyperlipidemia.  His lipid levels have progressively worsened over the last 10 years associated with gradual weight gain.  In the last 6 months, the patient has attempted to modify his diet and exercise regimen, but his lipid levels have not improved.  Past medical history is unremarkable, and he currently takes no medications.  The patient does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 130/86 mm Hg, pulse is 76/min, and BMI is 28 kg/m².  Cardiovascular examination is normal.  Which of the following drugs, when used as monotherapy, would be most likely to increase triglyceride levels in this patient?

• A)Atorvastatin
• B)Cholestyramine
• C)Ezetimibe
• D)Gemfibrozil
• E)Niacin

---

Definitions:

Pluralist Theory

A political theory suggesting that power in a democracy is distributed among multiple interest groups, ensuring that no single group dominates the political process.

Corporate Lobbies

Groups funded by corporations that seek to influence lawmakers and government policy decisions in a direction favorable to their interests.

Pluralist Theory

A theory of politics and policy-making that emphasizes the role of diverse, competing interest groups in shaping public policy.

Public Good

Describes a commodity or service that is provided without profit to all members of a society, either by the government or a private individual or organization.