USMLE Step 2 Quiz
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CARDIOVASCULAR
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A 28-year-old woman presents for a pre-employment physical. She has obesity (BMI 34 kg/m²) and smokes 8 cigarettes/day. She reports high job stress and sleeps 5 hours/night. BP is 142/90 mm Hg (repeat 140/88). Labs: total cholesterol 182 mg/dL, LDL 110 mg/dL, HDL 39 mg/dL, triglycerides 170 mg/dL, fasting glucose 99 mg/dL. She takes no medications. Family history: father had hypertension; no early CAD. She asks which recommendation would most reduce her cardiovascular risk.
What preventive measure should be prioritized for this patient?
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