No Tendon Xanthomas in Medicine / Internal Medicine — 35yo Woman | Cardiology | SMLE Q#11515

SMLE Question #11515

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 35-year-old woman attends primary care after a routine health check. She has no history of ASCVD, diabetes, chronic kidney disease, hypertension, or smoking. She takes no regular medications and is not pregnant. BMI is 23 kg/m². Physical examination is normal with no tendon xanthomas and no goitre. Fasting lipids show elevated LDL cholesterol with normal triglycerides, and TSH is within range. What is the most appropriate treatment for her dyslipidemia?

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