A 59-year-old man in generally good health presents for his yearly health exam. He has no complaints. His family history

A 59-year-old man in generally good health presents for his yearly health exam. He has no complaints. His family history is significant for acute myocardial infarction, of which his father died at age 38, and angina, which his brother has. He does not smoke and drinks alcohol socially. His blood pressure is 129/84 mm Hg. The remainder of the physical examination is unremarkable. An electrocardiogram is normal. A fasting cholesterol profile shows: Total cholesterol: 279 mg/dL TG: 280 mg/dL HDL: 40 mg/dL LDL: 195 mg/dL Which of the following is the most appropriate next step in management of this patient? Group of answer choices Initiate statin therapy with intensity is based on the 10-year ASCVD risk calculation Trial of diet and exercise modification therapy and then a follow-up lipid panel Initiate moderate intensity statin therapy Initiate high intensity statin therapy

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