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Medium difficultyJohn is a 57yo Caucasian male who presents for a routine visit for his hyperlipidemia. His PMH includes hyperlipidemia and hypertension. He has no family history of heart disease. He is a current smoker (1 PPD x 45 years). He currently takes quinapril (Accupril*) 20mg daily. Vitals include BP 165/90 x 2, HR 84, EKG shows normal sinus rhythm. Weight 210 lbs, ht 5’10”. Fasting labs include K 5.1 [3.5-5], Cr 1.1 [<1.5], Total Chol 190 [<200], LDL 160 [<100], HDL 42 [<40-low, >60-high], TG 150 [<160]. 10 year calculated ASCVD risk is 22.1% (Pooled Cohort Risk Estimator).
Which of the following medications would you suggest to start?
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