A 68-Year-Old Man Reports Myalgia and Fatigue During a Follow-Up

question 433

Multiple Choice

A 68-year-old man reports myalgia and fatigue during a follow-up office visit.  The patient has been taking high-intensity statin therapy since he had an acute myocardial infarction several weeks ago.  His other medical problems include hypertension and type 2 diabetes mellitus.  On examination, there is mild generalized muscle tenderness.  Serum creatine kinase level is 456 U/L.  Vitamin D and TSH levels are within normal range.  The patient's statin therapy is discontinued, and he is started on a medication that inhibits cholesterol absorption at the brush border of the small intestine.  Which of the following drugs was most likely started in this patient?

• A)Colesevelam
• B)Ezetimibe
• C)Fenofibrate
• D)Nicotinic acid
• E)PCSK9 inhibitor

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Definitions:

Personalized Power Motive

The drive to influence or control situations in a way that is tailored to one's own interests or desires.

Appreciates

The recognition and valuing of someone's efforts, qualities, or achievements, often leading to an increase in morale and motivation.

Insightful Mind

The capability to understand and intuitively grasp complex situations, issues, or ideas.

Resilient Leader

A leader who demonstrates the ability to withstand or recover quickly from difficult conditions, inspiring and keeping the team focused during challenging times.