CHOLESTEROL SCREENING

1. Identify who should be screened in an adult public screening program, who should be referred based on risk factors, and/or the results of screening tests.

2. Identify what screening tests for cholesterol should be conducted in a public screening program or individual test.

3. Identify the conditions under which children should be screened for high cholesterol (who, when) and the values considered abnormal.

4. Identify the optimal cholesterol levels in patients with known Coronary Heart Disease.

5. What are the elements of a Step II diet.

6. Identify when to initiate drug treatment in children, asymptomatic adults, and patients with known coronary artery disease.

7. Identify the major classes of drugs used to treat hyperlipidemia and/or elevated cholesterol, their side effects on the different components of the lipid profile, use in combination, side effects and complications and labs required for monitoring.

8. Identify the effects of hormone replacement therapy on the lipid profile and coronary heart disease rates in women.

9. Identify strategies to increase patient adherence to a treatment regimen for high blood cholesterol.

10. Identify common causes of secondary dyslipidemia.

Source:

Family Medicine:  Ambulatory Care and Prevention, Chapter 102, Pages 727-728; Chapter 75, Pages 484-499

Essentials of Family Medicine, Chapter 16, pages 247-262

Reading Resources:

"Cholesterol Treatment Guidelines Update" Richard S. Safeer, M.D., Concentra Medical Centers, Baltimore, MD, Prabha S. Ugalat, M.P.H., George Washington University School of Medicine, Washington, D.C., American Family Physician, March 1, 2002.

“Management of Hypertriglyceridemia" Robert C. Oh, MPH, MAJ, MC, USA, Tripler Army Medical Center, Honolulu, Hawaii and Brian Lanier, CPT, MC, USA, Martin Army Community Hospital, Fort Benning, Georgia, American Family Physician, May 1, 2007.