42. Your patient is a 55 year old man with a strong family history of heart disease in first degree relatives under the age of 60. He has mild hypertension, smokes and is mildly obese. His serum cholesterol is 6.2 mmol/L and his triglycerides are normal. His HDL cholesterol is less than 1.0 mmol/L and LDL cholesterol is more than 4.0 mmol/L. What is the appropriate management?
a. although a serum cholesterol of 6.2 mmol/L is elevated, the elevation is mild and it is not appropriate to treat him. Repeat the test in 12 months
b. this man has a number of risk factors, an elevated cholesterol, a low HDL choles¬terol and a high LDL cholesterol. He should be treated with a fibrate if a dietary trial is unsuccessful
c. this man has a number of risk factors, an elevated cholesterol, a low HDL cholesterol and a high LDL cholesterol. He should be treated with a statin if a dietary trial is unsuc¬cessful
d. he should try to modify his diet over the next 12 months and then have another serum lipid estimation
e. he should give up alcohol, which is likely to be the cause of this pattern of abnormality