How do HMG-CoA reductase inhibitors, such as atorvastatin and simvastatin, work to lower blood lipids?

Correct answer: They inhibit an enzyme involved in cholesterol synthesis.

Explanation

HMG-CoA reductase inhibitors, commonly known as statins, are a cornerstone of lipid-lowering therapy. They function by blocking HMG-CoA reductase, a key enzyme in the body's pathway for producing cholesterol.

Other questions

Question 1

What is the primary purpose of using lipid-lowering agents as part of a total plan?

Question 3

Which of the following drugs is an example of a bile acid sequestrant?

Question 4

What is the primary site of action where Ezetimibe inhibits cholesterol absorption?

Question 5

According to the 'Contraindications' section, in which patient population are HMG-CoA reductase inhibitors specifically contraindicated?

Question 6

What is the recommended trial period for dietary therapy before initiating drug therapy with lipid-lowering agents?

Question 7

Which group of vitamins may be bound by bile acid sequestrants like cholestyramine and colestipol?

Question 8

Concurrent use of which of the following drugs with an HMG-CoA reductase inhibitor increases the risk of myopathy?

Question 9

What is the recommended course of action if a patient taking a lipid-lowering medication experiences a paradoxical increase in their cholesterol level?

Question 10

For how long is lipid-lowering therapy typically continued if no clinical response is evident?

Question 11

Which lab tests should be evaluated before initiating and periodically throughout therapy with lipid-lowering agents?

Question 12

What lifestyle modifications should be used in conjunction with lipid-lowering medications, according to patient teaching guidelines?

Question 13

Which class of lipid-lowering agents works by binding cholesterol in the GI tract?

Question 14

In addition to evaluating cholesterol and triglycerides, what other function tests should be assessed before and periodically throughout lipid-lowering therapy?

Question 15

Which of the following drugs is NOT listed as an HMG-CoA reductase inhibitor?

Question 16

Combining an HMG-CoA reductase inhibitor with cyclosporine can increase the risk of what adverse effect?

Question 17

What is one of the desired outcomes of lipid-lowering therapy regarding cholesterol ratios?

Question 18

What key historical information should be obtained from a patient before starting lipid-lowering therapy?

Question 19

What is the mechanism of action for fenofibrate and gemfibrozil?

Question 20

Which of the following drugs is NOT listed as increasing the risk of myopathy when used with HMG-CoA reductase inhibitors?

Question 21

What is the desired outcome regarding serum triglyceride levels from lipid-lowering therapy?

Question 22

What general contraindication is mentioned for lipid-lowering agents in the text?

Question 23

According to the implementation guidelines, what should be done to determine the timing of doses in relation to meals?

Question 24

The text states that HMG-CoA reductase inhibitors, such as fluvastatin and pitavastatin, inhibit what?

Question 25

Besides fat and cholesterol, what other dietary components should be restricted as part of patient teaching for lipid-lowering therapy?

Question 26

What is the primary action of bile acid sequestrants like colestipol and colesevelam?

Question 27

What is a potential interaction when bile acid sequestrants are taken with other concurrently administered drugs?

Question 28

What is the desired outcome regarding LDL cholesterol levels from lipid-lowering therapy?

Question 29

According to the 'Precautions' section, what is a key step that should be taken before drug therapy for high lipids is initiated?

Question 30

In addition to diet and exercise, what other lifestyle change is recommended in the patient teaching section for individuals on lipid-lowering agents?

Question 31

Fenofibrate, gemfibrozil, and niacin are lipid-lowering agents that act by which of the following mechanisms?

Question 32

The safety of lipid-lowering drugs has not been established in which specific populations, according to the 'Precautions' section?

Question 33

What is the consequence of combining HMG-CoA reductase inhibitors with drugs like niacin, erythromycin, gemfibrozil, or cyclosporine?

Question 34

The therapeutic goal of lowering blood lipids with agents like statins is to reduce the morbidity and mortality associated with what condition?

Question 35

Which of the following is NOT a lipid-soluble vitamin mentioned as being at risk of binding by bile acid sequestrants?

Question 36

When should liver function tests be assessed for a patient on lipid-lowering therapy?

Question 37

How does cholestyramine, a bile acid sequestrant, lower lipid levels?

Question 38

What is the consequence of HMG-CoA reductase inhibitors being contraindicated in pregnancy?

Question 39

What is a key difference in the mechanism of action between HMG-CoA reductase inhibitors and ezetimibe?

Question 40

Which of the following drugs is NOT a bile acid sequestrant?

Question 41

What is the recommended dietary trial period in months before initiating drug therapy with lipid-lowering agents?

Question 42

After how many months of lipid-lowering therapy with no evident clinical response should the therapy typically be discontinued?

Question 43

The patient teaching guidelines advise that lipid-lowering medications should be used in conjunction with what?

Question 44

The primary goal of therapy with lipid-lowering agents is the prevention of end-organ damage from what underlying disease process?

Question 45

Which of the following is an example of an HMG-CoA reductase inhibitor?

Question 46

The interaction between bile acid sequestrants and vitamins primarily affects which type of vitamins?

Question 47

What is the clinical significance of monitoring liver function tests in patients taking lipid-lowering agents?

Question 48

What are the three main classes of lipid-lowering agents described in the 'General Action and Information' section?

Question 49

What is the recommended patient action if a paradoxical increase in cholesterol level occurs while on lipid-lowering therapy?

Question 50

What potential interaction exists between bile acid sequestrants and the four vitamins A, D, E, and K?