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Mark is a 56 year old builder who presents for a routine NHS health check. He has no significant past medical history and takes no regular medication. On examination blood pressure is 157/94 and pulse rate is 92 bpm with a regular rhythm. His BMI is 31. Full Blood Count, Urea and Electrolytes, Liver function tests, Thyroid Stimulating Hormone and HbA1c are all normal, but Total Cholesterol is 6.5 mmol/L, LDL 2.5 mmol/L , and HDL 0.9 mmol/L.

You calculate his QRISK using QRISK3 tool which shows a 10 year risk of 22%.

You discuss commencing the patient on a statin given his high QRISK. What dose of statin would you prescribe?

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