Practice questions testing your knowledge of statins!!
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1 . Physician wants to initiate a high intensity statin and asks for your recommendation. What do you recommend?
A – Simvastatin 40 mg
B – Atorvastatin 40 mg
C – Lovastatin 40 mg
D – Pravastatin 40 mg
E – Fluvastatin 40 mg
- Which of the following statins should be taken in the evening?
A – Rosuvastatin
B – Atorvastatin
C – Pravastatin
D – Pitavastatin
E – Simvastatin
- What is the brand name of lovastatin?
A – Altoprev
B – Livalo
C – Caduet
D – Vytorin
E – Crestor
- What is the brand name of pitavastatin?
A – Altoprev
B – Livalo
C – Caduet
D – Vytorin
E – Crestor
- What is the maximum simvastatin dose a physician can prescribe given that the patient is currently on diltiazem?
A – 10 mg/day
B – 20 mg/day
C – 40 mg/day
D – 80 mg/day
E – None of the above
- TJ is a 50 year old male who had to stop his statin therapy as he experienced significant myalgias. The physician wants to re-initiate statin therapy. What is the most appropriate course of action?
A – Wait 2-4 days before re-challenging with a statin
B – Initiate the same statin at the same or a lower dose
C – Do not use the same statin, re-challenge with a different statin
D – Statins should not be re-initiated due to risk of rhabdomyolysis, consider other options
E – A and B
- Which of the following statements regarding simvastatin is false?
A – Do not initiate 80 mg dose
B – It should be dosed at bedtime
C – For patients taking amlodipine and simvastatin, the max dose of simvastatin should not exceed 10mg/day
D – For patients taking amiodarone and simvastatin, the max dose of simvastatin should not exceed 20 mg/day
E – It is contraindicated with strong CYP3A4 inhibitors
- Simvastatin is contraindicated with strong CYP3A4 inhibitors. Which of the following medications does not have a significant drug interaction with simvastatin?
A – Cyclosporine
B – Itraconazole
C – Clarithromycin
D – Gemfibrozil
E – Metoprolol
- Jake is a 67 year old male with dyslipidemia and is currently taking simvastatin 40 mg. His physician would like to switch to rosuvastatin. What is the equivalent dose of rosuvastatin?
A – 5 mg
B – 10 mg
C – 20 mg
D – 40 mg
E – 80 mg
- Gabe is a 46 year old male with a past medical history of HTN, MI (2018), GERD and Hyperlipidemia. She is currently on HCTZ 25 mg/day, simvastatin 20 mg, famotidine 20mg BID, Metoprolol 100 mg daily. VS/labs: BP 131/78, TC 210, LDL 150, HDL 32, TG 140. What drug therapy recommendations would you make to help Gabe reach her LDL goal of <70 mg/dL?
A – Increase simvastatin to 80 mg po daily and start fenofibrate 147 mg po daily
B – Discontinue simvastatin and start atorvastatin 80 mg po daily
C – Discontinue simvastatin and start atorvastatin 20 mg PO daily
D – Continue simvastatin 20mg and add ezetimibe 10 mg daily
E – Discontinue simvastatin and start rosuvastatin 10 mg daily
