1. Considering the patient's lipid profile, which of the following is the most appropriate next step in her management?

• No change in medication, monitor lipids annually.
• Initiate statin therapy to lower LDL-C.
• Recommend dietary changes and exercise for weight management.
• Prescribe fibrates to target high triglycerides.

2. If the patient starts statin therapy, what is the primary goal for LDL-C reduction?

• Reduce by 10% from baseline.
• Achieve an LDL-C below 100 mg/dL.
• Reduce LDL-C to match her HDL-C level.
• Individualise the goal based on additional risk factors.

3. When following up with this patient on her statin therapy, which of the following lab values would be most important to monitor?

• Fasting blood sugar.
• Liver function tests.
• Hemoglobin A1c (HbA1c).
• LDL-C level.

4. The patient asks you about the potential side effects of statin therapy. What is the most common side effect you would advise her about?

• Weight gain.
• Hair loss.
• Muscle aches.
• Drowsiness.

5. One year later, the patient's LDL-C remains at 130 mg/dL despite optimal adherence to statin therapy. What is the MOST appropriate next step in her management?

• Increase the statin dose.
• Add fibrates to target triglycerides.
• Switch to a different class of cholesterol medication.
• Recommend more aggressive lifestyle modifications.