Lifestyle Measures in Medicine / Internal Medicine — 50yo Man | Cardiology | SMLE Q#18637

SMLE Question #18637

Medicine / Internal Medicine Cardiology

Objective: OBJ-701

Last updated: February 2026
A 50-year-old man comes to a primary care clinic for cardiovascular risk assessment. He smokes 1 pack of cigarettes daily for 20 years and has hypertension managed inconsistently with lifestyle measures. He has no history of atherosclerotic cardiovascular disease and reports no chest pain, dyspnea, claudication, or neurologic symptoms. Physical examination is unremarkable. Which intervention is most appropriate to reduce his future risk of cardiovascular disease?

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