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		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T10:04:34+00:00</swivt:creationDate>
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		<rdf:type rdf:resource="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3AWBRQuestion"/>
		<rdf:type rdf:resource="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3APages_using_duplicate_arguments_in_template_calls"/>
		<rdfs:label>WBR0352</rdfs:label>
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		<swivt:page rdf:resource="https://www.wikidoc.org/index.php/WBR0352"/>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Creatinine phosphokinase and Potassium levels</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' While myositis is a common side effect of statin therapy, myositis is rarely responsible for therapy cessation and doses can be adjusted by symptom severity. There is no need to monitor Creatinine phosphokinase on a regular basis</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Blood statin levels</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' Blood statin levels are not monitored regularly</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Aspartate Transaminase  and Alanine Transaminase levels</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">In patients on statins liver enzymes Aspartate and Alanine transaminases should be monitored regularly as statins cause elevation in the levels</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Aspartate Transaminase , Alanine Transaminase  and Creatinine phosphokinase levels</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' Aspartate and alanine transaminases are monitored regularly but not creatinine Phosphokinase</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Urine Myoglobin levels</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' Urine myoglobin levels are raised in rhabdomyolysis . Rhabdomyolysis is a rare complication of statin therapy.  Monitoring of urine myoglobin is not standard of care</property:AnswerEExp>
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		<property:ExamType rdf:resource="&wiki;USMLE_Step_2_CK"/>
		<property:Explanation rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Statins are the important medication in Myocardial Ischemia. Statins decrease the mortality risk in post-MI patients unlike other lipid lowering medication. They act by inhibiting HMG- Co A reductase and increasing Low density lipoprotein uptake. Side effects of statins are myositis, and elevation of liver enzymes. Statin induced hepatotoxicity can be a dangerous side effect of these drugs.  Therefore, it is important to regularly monitor the liver enzymes aspartate transaminase, and alanine transaminase.  While myositis is a very common complication of statin therapy, doses can be adjusted to a patient’s symptomatic tolerance without needing to monitor myoglobin or creatinine phopsphokinase levels.

'''Educational Objective:'''
In patients on statins liver enzymes Aspartate and Alanine transaminases should be monitored regularly as statins cause elevation in the levels. Though statins also cause myositis,regular monitoring of Creatinine Phosphokinase of urine myoglobin is not indicated

'''References:''' Page 60 Master the boards Step 2 CK second edition&lt;br/&gt;
'''Educational Objective:''' &lt;br/&gt;
'''References:'''</property:Explanation>
		<property:MainCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Internal medicine</property:MainCategory>
		<property:PageAuthor rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Neeraja Danda M.B.B.S</property:PageAuthor>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 55 year old male presented to the Emergency room with the acute onset of chest pain, shortness of breath and excessive sweating. Electrocardiogram was perfomed, and cardiac enzymes were measured, confirming the diagnosis of myocardial infarction. Angiogram showed a 75% stenosis in the left coronary artery and angioplasty was performed. The patient’s post-angioplasty recovery was unremarkable. While discharging the patient, Atorvastatin was advised as the patient’s Low density lipoprotein level was 115mg/dl. 
While the patient is on statins which of the following should be routinely monitored?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">C</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Cardiovascular</property:SubCategory>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T00:16:10Z</swivt:wikiPageModificationDate>
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