30 Years in Medicine / Internal Medicine — 55yo Man | Cardiology | SMLE Q#1041
SMLE Question #1041
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 55-year-old man attends a routine primary care check-up. He is asymptomatic. He smokes 20 cigarettes daily and has done so for 30 years. His BMI is 29 kg/m². His father had a myocardial infarction at age 52. He asks which factor he should focus on changing first to reduce his risk of myocardial infarction. Which of the following is the most modifiable risk factor for MI in this patient?
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