Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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Your patient calls the clinic today because he is taking atorvastatin to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
  1. Stop taking the drug and make an appointment to be seen next week
  2. Continue taking the drug and make an appointment to be seen next week
  3. Stop taking the drug and come to the clinic to be seen today
  4. Walk for at least 30 minutes and call if symptoms continue
Explanation
Answer- C - You should instruct him to stop taking the drug immediately and come to the clinic for consultation with the physician today. Muscle aches, soreness, and weakness may be early signs of myopathy such as rhabdomyolysis associated with the HMG-CoA reductase class of antilipemic agents. This patient will need an immediate evaluation to rule out myopathy. Additional doses may exacerbate the problem. Exercise will not reverse myopathy and delays diagnosis.
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