ENTER TO WIN A FREE DVD/CD/BOOK OF YOUR CHOICE  (UP TO $19.99, SOME RESTRICTIONS) FROM AMAZON.com - JUST VISIT EVIDENCE MEDICINE.COM THIS MONDAY THROUGH FRIDAY - TAKE THE DAILY QUIZ QUESTION - THEN ENTER WITH YOUR 6 CORRECT ANSWERS - MORE DETAILS COMING - RESTRICTED TO U.S. RESIDENTS 18 AND OLDER

(1) MONDAY’S QUIZ QUESTION:

ACCORDING TO THE NCEP/ATP 3 (2001) AND THE JULY 2004 UPDATE WHICH ARE TRUE?

A) “In high-risk persons, the recommended LDL-C is <100 mg/dL . . . <70 mg/dL is a therapeutic option . . .      especially for patients at very high risk”
B) “For moderately-high risk persons (2+ risk factors and 10-year risk of 10 to 20%), the recommended goal is
     <130 mg/dL . . . <100 mg/dL is a therapeutic option . . .”
C) “Moderate risk: 2+ risk factors (10 year risk <10%)”  LDL Goal: “ < 130 mg/dL”)
D) “Lower risk: 0-1 risk factors” LDL Goal: “<160 mg/dL)
E) All of above correct
F) Only A & B correct
G) None of above correct

TUESDAY’S QUESTIONS:

ACCORDING TO NCEP/ATP 3 AND 2004 UPDATE:

(2) WHEN USING STATIN THERAPY, A “30% - 40% REDUCTION OF LDL-C” IS A GOAL.  WHICH ARE CORRECT LIKELY DOSES REQUIRED TO OBTAIN THIS REDUCTION BASED ON CURRENT DATA?

A) ATORVASTATIN (LIPITOR)        10 MG
B) LOVASTATIN (MEVACOR)        40 MG
C) PRAVASTATIN (PRAVACHOL) 40 MG
D) SIMVISTATIN (ZOCOR)             20-40 MG
E) FLUVASTATIN                         40-80 MG
F) ROSUVASTATIN (CRESTOR)    5-10  MG
G) A-E ARE CORRECT
H) ALL ARE CORRECT”
I) NONE ARE CORRECT

HINT: ACCESS GUIDELINES FROM MEDICAL GUIDELINES PAGE (OR ON HOME PAGE BELOW) GO TO TABLE 1 ON PAGE 233 OF PDF DOCUMENT.  SOME ANSWERS WILL BE GIVEN DIRECTLY ON MEDICAL GUIDELINES AND MEDICAL SEARCHES PAGES THROUGHOUT THE WEEK.

WEDNESDAY’S QUESTION:
(3) ACCORDING TO NCEP/ATP 3 2001/2004 THE “HIGH RISK” CATEGORY CONSISTS OF “CHD OR CHD RISK EQUIVALENTS.”  WHICH QUALIFY?

A) “MYOCARDIAL INFARCTION, UNSTABLE ANGINA, CORONARY ARTERY PROCEDURES . . . OR . . .                       CLINICALLY SIGNIFICANT ISCHEMIA”
B) “PERIPHERAL ARTERIAL DISEASE”
C) “ ABDOMINAL AORTIC ANEURYSM”
D) “CAROTID ARTERY DISEASE”  (WITH TIA, CVA OR >50%)
E) “DIABETES”
F) “2+ RISK FACTORS WITH 10-YEAR RISK FOR HARD CHD >20%”
G) ALL OF ABOVE
H) A, B AND E ONLY
I) NONE OF ABOVE

THURSDAY’S QUESTION”
(4) ACCORDING TO NCEP/ATP 3 2001/2004, WHICH COUNT AS “RISK FACTORS”
A) “CIGARETTE SMOKING”
B) “HYPERTENSION”
C) “LOW HDL CHOLESTEROL (<40 MG/DL)
D) “FAMILY HISTORY OF PREMATURE CHD”
E) “DIABETES”
F) A-D ONLY, DIABETES SHOULD BE BE CONSIDERED A CHD EQUIVALENT NOT JUST A RISK FACTOR FOR  NCEP/ATP PURPOSES
G) A-E
(note AGE BASED ON GENDER IS ANOTHER RISK FACTOR, MEN >/= 45; WOMEN >/= 55))

FRIDAY’S QUESTIONS:

A 54 YO WOMAN (NO KNOWN CHD OR EQUIVALENT) HAS
QUIT USING TOBACCO 10 YEARS AGO,
SHE HAS BEEN DIAGNOSED WITH HYPERTENSION AND TAKES HYDROCHLOROTHIAZIDE DAILY. HER LAST BP WAS 140/70.
HER FATHER WAS DIAGNOSED WITH CAD AFTER MYOCARDIAL INFARCTION AT AGE 56.
HER MOTHER WAS DIAGNOSED WITH CAD 5 DAYS BEFORE CORONARY ARTEY BYPASS GRAFTING AT AGE 66.
HER GRANDFATHER DIED OF MYOCARDIAL INFARCTION AT AGE 30.
SHE HAS NO DIABETES.
HER HDL = 40. (TOTAL CHOL = 200, TRIGLYCERIDES = 100).

CALCULATE HER LDL TO ANSWER QUESTION 6 BELOW

(5) WHAT RISK CATEGORY IS SHE IN (LDL GOALS IN PARENTHESES)
A) HIGH RISK - CHD OR EQUIV (<100 OR <70 AN OPTION)
B) MODERATELY-HIGH RISK : 2+ RISK AND 10-20% RISK (<130 OR < 100 AN OPTION)
C) MODERATE RISK : 2+ RISK AND <10% RISK (<130)
D) LOWER RISK (<160)

IF YOU THINK SHE HAS 2+ RISK FACTORS USE THE ONLINE CALCLATOR http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=prof TO DISTINGUISH B FROM C - YOU CAN ALSO JUST USE THE PAPER TABLES TO DETERMINE AVAIL AT http://www.nhlbi.nih.gov/guidelines/cholesterol/dskref.htm

(6) SHE IS AT GOAL FOR LDL
A) TRUE
B) FALSE

CONTEST RULES;

1) ONE ENTRY PER PERSON PER CONTEST

2) 18 YEARS OR OLDER, LEGAL US RESIDENT

3) MUST HAVE ALL (6) ANSWERS CORRECT, LIST ANSWERS (EX;   A, B, C, D, H,X)

4) SEND ENTRY TO contact@evidencemedicine.com

5) INCLUDE E-MAIL ADDRESS,(WINNERS MUST PROVIDE FULL NAME, AGE, OCCUPATION, ADDRESS TO CLAIM PRIZE)

6) PRIZE MUST BE AVAILABLE ON AMAZON.COM ON DAY ON ENTRY DATE, $19.99 OR LESS BEFORE TAX/SHIPPING, NO “ADULT” TITLES, STANDARD SHIPPING ONLY, CONTEST NOT SPONSORED BY AMAZON.COM  (DVD, CD, BOOK OR VHS)

7) THE FIRST AND 25TH ENTRIES ARE ELIGIBLE IF ANSWERS CORRECT (THE FIRST CORRECT ELIGIBLE RESPONSE AND THE NEXT CORRECT RESPONSE AT THE 25TH OR LATER ENTRY ARE WINNERS)

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