Choose how you want to revise
Select Questions
Revise with my preferences. Choose your difficulty or recap questions you've found hard.
Mock tests
Test myself against recent exam themes and ones curated by BMJ’s editorial team of doctors.
Group Learning
Play under a username and join friends or others for 10 questions. Move up of the daily leaderboard.
On the go
Download the app for offline access. Make revision easily fit into your schedule.
Select the best subscription for your exam date
Join 200,000+ OnExamination users who have successfully become medical professionals
-
MOST POPULAR
October 2023 Exam
£24.49
£34.99 -
MOST POPULAR
January 2024 Exam
£52.49
£74.99 -
MOST POPULAR
April 2024 Exam
£76.99
£109.99
Revise with quality questions and detailed explanations
Demo Question
Which of the following lipid profile results would most strongly merit referral to a specialist lipid clinic?
Non-HDL cholesterol of 8 mmol/L
LDL cholesterol of 5 mmol/L
Total cholesterol of 8.5 mmol/L
Triglyceride level of 5 mmol/L with an LDL cholesterol of 4 mmol/L
Triglyceride level of 7.5 mmol/L
Key Learning Point
Referral to lipid clinic for specialist assessment is indicated for: total cholesterol greater than 9 mmol/L, LDL cholesterol of greater than 6.5 mmol/L, non-HDL cholesterol of greater than 7.5 mmol/L and fasting triglycerides of greater than 10mmol/L.
Explanation
Specialist lipid clinics play an important role in the management of more 'adverse' lipid profiles; some of which may have a familial aetiology. More marked elevations in lipid profile components can translate into a much greater risk of cardiovascular disease and may require more aggressive treatment to reduce this risk. Hypertriglyceridaemia is also a risk factor for pancreatitis.
The figures outlined in the learning point highlight what levels of total cholesterol, LDL cholesterol, non-HDL cholesterol would merit referral to lipid clinic.
