Uspstf guidelines family medicine shelf

Background: In 2009, the U.S. Preventive Services Task Force (USPSTF) recommended biennial mammography for women aged 50-74 years and shared decision-making for women aged 40-49 years for breast cancer screening. We evaluated changes in mammography screening interval after the 2009 recommendations. Materials and Methods: We conducted a prospective cohort study of women aged 40-74 years ...

(USPSTF) recommendations on screening for family and intimate part-ner violence based on the USPSTF's examination of evidence specifi c to family and intimate partner violence. It updates the 1996 recommenda-tions contained in the Guide to Clinical Preventive Services, second edition.1April 18, 2023. Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services. Download Final Recommendation Statement (PDF) Return to Recommendation. Table of Contents. Importance.Family Medicine Shelf study guide by EVMSBiochem includes 15 questions covering vocabulary, terms and more. Quizlet flashcards, activities and games help you improve your grades.The USPSTF strongly recommends screening women aged 45 and older for lipid disorders if they are at increased risk for coronary heart disease. A: Women 20-45 at Increased Risk for CHD: The USPSTF recommends screening women aged 20-45 for lipid disorders if they are at increased risk for coronary heart disease. B: Men 20-35 at Increased Risk for CHD2021 Preventive Health Guidelines for Members 65 Years of Age and Older. . The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, March 23, 2010, as amended) requires, among other things, coverage of all A and B Recommendations as promulgated by the United States Preventive Services Task Force (USPSTF).2 Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia. ... It also includes engagement of partners to disseminate USPSTF recommendations to help ensure that the primary care workforce remains up-to-date on USPSTF recommendations. This paper outlines the approaches used by the …The massive iceberg that calved off the Larsen-C shelf last July exposed a previously unexplored region of seafloor. When A-68, a trillion-ton iceberg the size of Delaware (or ten ...I didn't do any uworld family med questions. Just studied the case files, Anki'd Dorian family med cards which covers OME and uspstf guidelines, and read over the ambulatory section of step up to medicine. Was plenty enough for the shelf. Was a very manageable test. It worked for me too. Dorian deck plus uworld.

Study with Quizlet and memorize flashcards containing terms like Screening for lipid disorders in Adults (**without any risk factors) M _____ F _____, Screening for lipid disorders in people at increased risk: Age = _____, …Family Medicine Modular Exam. Questions: 110. Core Content: 90 questions (on anything related to Family Medicine) Chronic Care: 10 questions (management of patients with …Sleep Apnea Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone) Chronic kidney disease Primary Aldosteronism (Conn's Syndrome) Cushing's Syndrome Pheochromocytoma (MEN II and III) Coarctation of aorta (Turner's) Thyroid/Parathyroid diseaseReply. lazygun247. • 3 yr. ago. If you remember it well enough, you will have memorized it. l0l. Used anki - cheesy dorian has a breakdown for the USPSTF. Some parts are hard to memorize, but a lot of other ones make sense pretty easily. When you see patients on the clerkship, the guidelines stick a lot more. 2.4 days ago · The AAFP has reviewed Family Medicine Update Livestream and deemed it acceptable for up to 34 Live AAFP Prescribed credit. Term of Approval is from 4/30/2024 to 5/4/2024. Physicians should claim ... Any tips for family medicine shelf exam? 🏥 Clinical. I took my shelf last week and got a 75% (around 40% national percentile). Our school has a shelf exam retake policy because our max grade for the rotation is capped by shelf exam performance. I will be taking family medicine shelf again in July of next year, which is really far away.

Recommendation Topics. The U.S. Preventive Services Task Force is an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services. These reviews are published as U.S. Preventive Services Task Force recommendations on the Task ...What are best resources to study for family medicine shelf? 🏥 Clinical. I just had pediatrics shelf today and will be starting family medicine next week for next 6 weeks. I plan on using the following as of now. Anking Step 2 FM related cards. U World for FM shelf (~400 questions) Maybe Amboss. I heard USPSTF is helpful.Hey man, I gave this advice a couple days ago. I had FM shelf roughly 2 weeks ago. I had watched like 85% of the OME schedule for family and read through the screening guidelines. I didn't particularly like the AAFP questions. In the last week, a classmate told me about ExamGuru questions.Finding out information about family histories is growing in popularity with each passing year. In addition to wanting to know more about a person’s backgrounds, obtaining informat...

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Truth to be told the USPSTF guidelines apply a bit more for things like the family medicine shelf where they want to make sure you know screening guidelines, etc. ... READ THE RULES BEFORE POSTING USMLE Step 1 is the first national board exam all United States medical students must take before graduating medical school.Define "really good score." You've done everything I would recommend to do other than Combank and/or Comquest questions. COMATs are such a crapshoot when it comes to scores, but as long as you're a baseline good (NBOME) test-taker, you should be set to get 105+ at the very least. If you're aiming for 1+ SD (110+) I would use a question Bank.ioral medicine, with broad and deep expertise in preventive medicine and primary care. The USPSTF members disclose financial and nonfinancial interests. The USP-STF uses rigorous methods that include comprehensive systematic reviews address-ing the benefits and harms of preventive services. The USPSTF's recommendationsThe original BackPack was a handy little shelf that you could attach to your iMac or Apple Display to get an external hard drive off of your desk. Now, a new version of the shelf i...

The USPSTF therefore will not update its 1996 recommendation. The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) publishes recommendations on immunizations for children and adults. The methods used by the ACIP to review evidence on immunizations may differ from the methods used by the USPSTF.Start studying Family Medicine Shelf -REview. Learn vocabulary, terms, and more with flashcards, games, and other study tools.Study with Quizlet and memorize flashcards containing terms like Abdominal Aortic Aneurysm (AAA), Anxiety in children/adolescents, Aspirin to prevent preeclampsia in high-risk women and more. Welcome All Jumpers! This is a Sister subreddit to the makeyourchoice CYOA subreddit. This Subreddit focuses specially on the JumpChain CYOA, where the 'Jumpers' travel across the multiverse visiting both fictional and original worlds in a series of 'Choose your own adventure' templates, each carrying on to the next... Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions) Screening for AAA. Click the card to flip 👆. Men 65-75 who have ever smoked (A). this should be a one time screen. -C rec in men 65-75 who have never smoked. -I rec for women 65-75 who have smoked. -D rec for women who have never smoked. Click the card to flip 👆.med_school_tutors • 1 yr. ago. Yes definitely. Historically there was also a set of family medicine practice questions that were on UVA med schools website. You can still find them on prior reddit threads/online and I found those particularly helpful in preparing. If you have extra time, it doesn't hurt to review the USPTSF A&B guidelines.Recommendation Topics. The U.S. Preventive Services Task Force is an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services. These reviews are published as U.S. Preventive Services Task Force recommendations on the Task ...The American Academy of Family Physicians, 54 American College of Obstetricians and Gynecologists (ACOG), 55 American Academy of Neurology, 56 American Academy of Pediatrics, 57 Institute of Medicine Committee on Preventive Services for Women, 58 and the HRSA-supported Women's Preventive Services Guidelines 59 are in favor of screening for ...A physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as appropriate -Annual pelvic/breast exam. USPSTF (1996) Updated 2004. The expert consensus opinion of the 2004 PH Committee.

In April 2022, the US Preventive Services Task Force (USPSTF) issued new recommendations for the use of aspirin to prevent cardiovascular disease (CVD). 1 These recommendations differ markedly from those issued in 2016. First, for individuals ages 40 through 59 years who have a ≥ 10% 10-year risk of CVD, the decision to initiate low-dose ...

Study with Quizlet and memorize flashcards containing terms like Screening for lipid disorders in Adults (**without any risk factors) M _____ F _____, Screening for lipid disorders in people at increased risk: Age = _____, Abdominal Aortic Aneurysm screening tool and more.Family Medicine Shelf (USPSTF + Blueprints + AAFP… 423 terms. Jared_G4. USPSTF recommendations Family medicine. 36 terms. yjaber. Family Medicine Shelf Exam - MSK. 131 terms. Pedro_Diego. Peripheral arterial disease. 34 terms. thepalife TEACHER. Other sets by this creator. Genitourinary DIT. 34 terms.The age-adjusted incidence of ovarian cancer from 2010 to 2014 was 11.4 cases per 100,000 women per year. 1 Ovarian cancer is the fifth most common cause of cancer death among U.S. women and the ...Prostate Cancer: Screening -- Men aged 55 to 69 years. Recommendation. Summary. Skin Cancer Prevention: Behavioral Counseling -- Adults older than 24 years with fair skin types. Recommendation. Summary. Risk Factor. Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication -- Adults aged 40 to 75 years who ...1) Morning stiffness for at least 1 hour. 2) At least three joints involved in soft tissue swelling or effusion. 3) At leas on joint affected in wrist. 4) Symmetric involvement of the same joint, both sides of body.med_school_tutors • 1 yr. ago. Yes definitely. Historically there was also a set of family medicine practice questions that were on UVA med schools website. You can still find them on prior reddit threads/online and I found those particularly helpful in preparing. If you have extra time, it doesn't hurt to review the USPTSF A&B guidelines. OME: Followed the family medicine outline found here as an initial overview. Case Files: Only took the major points from each chapter. It was nice to have a textbook (e.g., to read about patients before the next day and know what to ask for the next day), but I doubt it helped much for the shelf. USPTF Guidelines: Used this deck with minor ... Family medicine is a medical specialty within the division of primary care that features comprehensive plus continuing attend to patients of all different and health conditions. Family attending much represent the first contact of medical care for their patients. Training. In the US, family physicians must complete a three-year family medicine ...UCSF Division of Adolescent and Young Adult Medicine Guidelines as of 06/2019, subject to change. The United States Preventive Services Task Force (USPSTF) conducts scientific evidence reviews of a broad range of clinical preventive health care services and develops recommendations for primary care clinicians and health systems.

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The shelf life for Naproxen tablets is three years from the manufacturing date. Ideal storage conditions include a dry, dark place at temperatures below 77 degrees Fahrenheit. Napr...USPSTF Family Med Shelf. 74 terms. michael_jon_benson. Preview. Dr. High Yield Family Medicine.Welcome All Jumpers! This is a Sister subreddit to the makeyourchoice CYOA subreddit. This Subreddit focuses specially on the JumpChain CYOA, where the 'Jumpers' travel across the multiverse visiting both fictional and original worlds in a series of 'Choose your own adventure' templates, each carrying on to the next...Appendix D USPSTF Final Recommendations Published October 2022-September 2023 Over the past year, the members of the Task Force continued working on a full portfolio of topics. It published 13 final recommendation statements with 19 recommendation grades in a peer-reviewed journal between October 1, 2022, and September 30, 2023.The Task Force now recommends that all women get screened every other year starting at age 40. This final recommendation also urgently calls for research in key areas. Explore this page to learn more about the latest Task Force final recommendation on screening for breast cancer. Screening for Breast Cancer: USPSTF Final Recommendation.The Task Force now recommends that all women get screened every other year starting at age 40. This final recommendation also urgently calls for research in key areas. Explore this page to learn more about the latest Task Force final recommendation on screening for breast cancer. Screening for Breast Cancer: USPSTF Final Recommendation.BacktoBasics8's Guide to M3 Shelf Exams. Redpancreas. Aug 29, 2017. This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. Aug 29, 2017. #1. This guide is my subjective and opinionated guide to Year 3 Shelf exams based on mainly my experience as well as some things I have heard.Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions) Screening for AAA. Click the card to flip 👆. Men 65-75 who have ever smoked (A). this should be a one time screen. -C rec in men 65-75 who have never smoked. -I rec for women 65-75 who have smoked. -D rec for women who have never smoked. Click the card to flip 👆.Know the all the pathologies for shoulder/knee/ankle and the different maneuvers to test for them like empty can test, Thessaly, ankle squeeze test. If I were you I would do all the fm uworld + ambulatory med + internal medicine (cardio/resp/gi/msk) + family med amboss questions + 2 fm practice nbmes. The shelf is so broad and random that you ...Based primarily on the single randomized controlled trial that demonstrated benefit from prostate cancer screening, the USPSTF estimates that of 1,000 men 55 to 69 years of age screened over 13 ...Many students recommended studying these guidelines for the shelf: USPSTF Guidelines. Here is an anki deck based off these guidelines: Download HoggieMed USPSTF guidelines (3_2022 update).apkg. ... a EPC of 61 for family med would be equivalent to 5th percentile. TLDR; I thought shelves would be standardized amongst …2021 Preventive Health Guidelines for Members 65 Years of Age and Older. . The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, March 23, 2010, as amended) requires, among other things, coverage of all A and B Recommendations as promulgated by the United States Preventive Services Task Force (USPSTF). ….

Study Family Medicine Shelf using smart web & mobile flashcards created by top students, teachers, and professors. Prep for a quiz or learn for fun! ... Sample Decks: USPSTF Screenings Recommendations Show Class Family Medicine Shelf. Family Medicine Shelf By: Jennifer Dagri. 41 Cards - 3 Decks - 4 LearnersUSPSTF recommendations: A 2017 roundup. J Fam Pract. 2017 May;66 (5):310-314. By. Doug Campos-Outcalt, MD, MPA. Author and Disclosure Information. Colorectal cancer screening and primary CVD prevention have general and selectively applied updates. This review also covers medical services to avoid and those without sufficient evidence to …Overlooked Gems for Family Medicine Board Review: USPSTF and the Choosing Wisely Campaign. Family medicine residents know that these tests are very guideline-heavy with an emphasis on conservative management. The best places to peruse the most up-to-date recommendations are USPSTF and the Choosing Wisely Campaign. 1. USPSTF RecommendationsThe USPSTF concludes with high certainty that the net benefit of behavioral interventions and US Food and Drug Administration (FDA)-approved pharmacotherapy for tobacco smoking cessation, alone or combined, in nonpregnant adults who smoke is substantial.. The USPSTF concludes with high certainty that the net benefit of behavioral interventions for tobacco smoking cessation on perinatal ...Prevention. On January 13, 2022, the U.S. Preventive Services Task Force published its final research plan on pre-exposure prophylaxis (PrEP) for the prevention of HIV infection. The USPSTF is an independent panel of non-Federal experts that makes recommendations on clinical preventive services, such as screenings, counseling, and preventive ...The USPSTF therefore will not update its 1996 recommendation. The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) publishes recommendations on immunizations for children and adults. The methods used by the ACIP to review evidence on immunizations may differ from the methods used by the USPSTF.Utilize textbooks, online resources, and practice questions to reinforce your learning. With dedication and a comprehensive study plan, you can ace the family medicine shelf exam and embark on a successful career in family medicine. 16 Best Tips On How To Study For Family Medicine Shelf 1. Create a Study ScheduleOverall, these USPSTF recommendations reinforce the 2013 ACC/AHA recommendations that reduced the importance of hitting a target low-density lipoprotein (LDL) and instead determine the overall cardiovascular risk score. We’ve detailed those recommendations before: USPSTF states that patients with a 7.5-10% risk “may also … Uspstf guidelines family medicine shelf, 2. Create a study schedule for the Family Medicine Shelf Exam. The family med rotation is clinic-heavy; your clinical experiences will take place mostly or entirely in the outpatient setting, generally leaving you with nights and weekends free. This may make it seem like this rotation will be a bit of a break, although it's important not to ..., Exercise interventions can help prevent falls in community-dwelling adults aged ≥65 years who are increased risk for falls, according to a new recommendation statement from the US Preventive Services Task Force (USPSTF). The statement updates the 2012 USPSTF recommendation on the prevention of falls in community-dwelling older adults. The updated statement includes the following recommendations:, This systematic review is a combined update of two prior reports2, 3 to support the 2016 USPSTF recommendation on screening for lipid disorders in children and adolescents.1 Previously, separate reports were issued for familial hypercholesterolemia (FH) and multifactorial dyslipidemia, defined as lipid elevations from causes other than FH. Our update includes studies published since the ..., Correct Ans - 1. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined. 2. Read the clinical considerations section of USPSTF Recommendation Statement., PURPOSE The US Preventives Services Task Force (USPSTF) is authorized by the US government to review and disseminate the scientific evidence for clinical preventive services. The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before implementation of health reform. METHODS We recorded all Medicare coverage for ..., The Family Medicine (FM) shelf exam is a challenge, especially for students who have yet to rotate through IM, OB, or Peds. With most FM rotations limited to four short weeks, the broad scope of exam questions and lack of time make this shelf particularly difficult. ... Above all else, ensure that you learn the USPSTF recommendations. Make ..., Based primarily on the single randomized controlled trial that demonstrated benefit from prostate cancer screening, the USPSTF estimates that of 1,000 men 55 to 69 years of age screened over 13 ..., I have my Family Medicine Shelf in a couple of weeks, and so far I've just been using the Anking Overhaul Deck filtered for the Family Medicine Shelf. I'm planning on working through the Uworld Questions and the AAFP questions and the NBMEs. ... Knowing USPSTF guidelines and Virginia FM questions helped, along with the ambulatory chapter from ..., Truth to be told the USPSTF guidelines apply a bit more for things like the family medicine shelf where they want to make sure you know screening guidelines, etc. I think it would be helpful to review the A&B guidelines, but I definitely wouldn't spend too much time on them. Roshun S, MD Med School Tutors, Family medicine is a medical specialty within the division of primary care that features comprehensive plus continuing attend to patients of all different and health conditions. Family attending much represent the first contact of medical care for their patients. Training. In the US, family physicians must complete a three-year family medicine ..., Family Medicine NBME Subject Exam The Family Medicine Shelf exam differs from other Clerkship exams in that it is difficult to suggest one resource that covers everything that may be on the exam. Family medicine is a broad specialty that encompasses so many different areas. The shelf exam reflects the scope of this specialty, however your ..., A & B Recommendations. A listing of all the Recommendations with a grade …, Recommendation Summary. The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health ..., PossibleYam. •. I did about 1200 AAFP questions and got high 90's percentile on the shelf. I think it had pretty good correlation. It's not supposed to be a self-assessment tool, it's primarily just a teaching tool in interactive format. So it's okay if it's easy. Also did all the UWorld MSK/Ortho and Derm., It helped me for the FM shelf so I plan to do it again for step2. I also drew it out on paper so hopefully combine it sticks. awesome! thank you. I guess ill use it for CK. I would know all the USPSTF A and B screening guidelines for the exam, there were at least 5-6 questions on my exam based on screening., A physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as appropriate -Annual pelvic/breast exam. USPSTF (1996) Updated 2004. The expert consensus opinion of the 2004 PH Committee., Uspstf Guidelines Family Medicine Shelf Making Medicines Affordable National Academies of Sciences, Engineering, and Medicine 2018-03-01 Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time ..., Family Medicine Shelf Exam. Flashcards. Learn. Test. Match. Flashcards. Learn. Test. Match. Created by. BinhPham06. Terms in this set (351) ... What are the current USPSTF recommendations for screening peds patients who are non-smokers and not sexually active? Artificial tears probs has chemical conjunctivitis - silver nitrate; Px w/in first 24 ..., Study with Quizlet and memorize flashcards containing terms like Screening for AAA, Test used to screen for AAA, Treatment for AAA and more., Start studying Family Medicine Shelf -REview. Learn vocabulary, terms, and more with flashcards, games, and other study tools., We would like to show you a description here but the site won’t allow us., Population. Recommendation. Grade. Men aged 65 to 75 years who have ever smoked. The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked. B. Men aged 65 to 75 years who have never smoked. The USPSTF recommends that clinicians selectively offer screening for ..., The Best Books for Prepping for the Family Medicine Shelf Exam. ... Offers recommendations for USPSTF; On Sale. Case Files Family Medicine, Fourth Edition . Toy, Eugene (Author) English (Publication Language) 704 Pages - 03/10/2016 (Publication Date) - McGraw Hill / Medical (Publisher), The American College of Obstetricians and Gynecologists (ACOG) joins ASCCP and the Society of Gynecologic Oncology (SGO) in endorsing the U.S. Preventive Services Task Force (USPSTF) cervical cancer screening recommendations 1 , which replace ACOG Practice Bulletin No. 168, Cervical Cancer Screening and Prevention, as well as the 2012 ASCCP cervical cancer screening guidelines 2 ., Prostate Cancer: Screening -- Men aged 55 to 69 years. Recommendation. Summary. Skin Cancer Prevention: Behavioral Counseling -- Adults older than 24 years with fair skin types. Recommendation. Summary. Risk Factor. Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication -- Adults aged 40 to 75 years who ..., What is your best family medicine anki deck? I am starting my family medicine rotation this month. Cheesy Dorian (now integrated into Anking) Honestly, just know a little bit of IM, peds, and OB outpatient guidelinesfrom ABFM, ACP, ACOG, and the screening protocols from USPSTF. Try really hard and you'll be Golden., Take notes on the questions, re do incorrect if you have time. FM hits so many topics that I think a q bank is really useful to make sure you see it all. That said, FM is also pretty heavy on USPSTF and a few other algorithm type stuff (like Ottawa foot and ankle, COPD management, or asthma classification). These are things I picked up during ..., It helped me for the FM shelf so I plan to do it again for step2. I also drew it out on paper so hopefully combine it sticks. awesome! thank you. I guess ill use it for CK. I would know all the USPSTF A and B screening guidelines for the exam, there were at least 5-6 questions on my exam based on screening., The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk assessment tool., Population. Recommendation. Grade. Adults 64 years or younger, including pregnant and postpartum persons. The USPSTF recommends screening for anxiety disorders in adults, including pregnant and postpartum persons. B. Older adults 65 years or older. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits ..., It is a very comprehensive exam with many topics that are fair game. Know your common chronic diseases and musculoskeletal diseases very well because they come up very often on the shelf. AAFP recommendations are critical to learn. Treatment guidelines for diseases like hypertension, hyperlipidemia, diabetes, and asthma will be covered., Importance. More than 35% of men and 40% of women in the United States are obese. 1,2 Obesity is associated with health problems such as increased risk for coronary heart disease, type 2 diabetes, various types of cancer, gallstones, and disability. 1,3-7 Obesity is also associated with an increased risk for death, particularly among adults younger than 65 years. 1 The leading causes of death ..., The US Preventive Services Task Force (USPSTF) concludes with moderate certainty that statin use for the prevention of CVD events and all-cause mortality in adults aged 40 to 75 years with no history of CVD and who have 1 or more CVD risk factors (ie, dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year CVD event …