Question of the Week # 398

April 23, 2012 6:26 am10 Comments
Archer USMLE Step 3

398)  A 45 year old man presents to your office with complaints of troublesome flushing of his face and trunk for the past one week. Frequently, the flushing is severe and causes stinging sensations. His past medical history is significant for dyslipidemia with an isolated low HDL cholesterol for which he was started on Niacin one week ago. On examination, his blood pressure is 120/88 mm Hg.  His face and trunk have flushed appearance. Reminder of physical examination is unremarkable. Which of the following is the most appropriate recommendation for him at this time?

A) Discontinue Niacin

B) Take Niacin with food

C) Diphenhydramine as needed

D) Take Aspirin before Niacin

E) Re-assure symptoms will bate in one week

Posted in Uncategorized, USMLE Test PrepTagged approach to hyperlipidemia, archer preventive medicine, choosing hyperlipidemia therapy, Goals in treating hyperlipidemia, Hyperlipdemia Drugs and effects, usmle step 3 preventive medicine

10 Thoughts on “Question of the Week # 398”

  1. Tan on April 23, 2012 at 6:46 am said:

    D) take Aspirin before Niacin
    that will prevent the flushing side effect of Niacin.

    Reply↓
  2. dr.zahiyah on April 23, 2012 at 9:47 am said:

    B.take niacin with food

    Reply↓
  3. %usmle%, %galaxy% via Facebook on April 23, 2012 at 9:56 am said:

    aspirin before niacin

    Reply↓
  7. shru on April 23, 2012 at 5:52 pm said:

    B) Take Niacin with food

    Reply↓
  8. U on April 24, 2012 at 11:31 pm said:

    B or D. They both look right..

    Reply↓
  10. sara on May 7, 2012 at 3:18 am said:

    D-take asprin before niacin

    Reply↓
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