A 62 year old woman of African American ancestry who is self-insured presents with a BP of 150/102 documented on three separate occasions. She is of
... [Show More] normal weight and a non-smoker, with no other health problems. In terms of clinical efficacy and cost effectiveness, which of the following represents the best choice of antihypertensive agent for this person? - ✔✔ hydrochlorothiazide
When are statins traditionally ordered to be taken? - ✔✔ -At bedtime
Drug choices to treat angina in older adults differ from those of younger adults only in: - ✔✔ Consideration of risk factors for diseases associated with and increased in aging
You are the primary care provider for a 36 year old woman of northern European ancestry who presents with untreated hypertension. She also has a history of panic disorder. Which of the following represents the best choice of antihypertensive agent for this woman? - ✔✔ Atenolol
Ted is a 51 yo male, FH POS for CVD, obese, sedentary lifestyle, non-smoker, presents with physical exam and has his employee wellness labs. HDL 38, LDL 199, BS 103 are only abnormal labs. BP 150/90. Pulse 80. Which of the previous increase his risk of CAD/CVD? - ✔✔ POS FH, low HDL, HTN
Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease. She has already tried diet changes (increased fiber and plant sterols) to lower her LDL and after 6 months her LDL is slightly higher. The next step in her treatment would be: - ✔✔ A statin
Angiotensin-converting-enzyme (ACE) inhibitors are a central part of the treatment of heart failure because they have more than one action to address the pathological changes in this disorder. Which of the following pathological changes in heart failure is NOT addressed by ACE inhibitors? - ✔✔ Activation of the sympathetic nervous system that increases heart rate and preload.
Many patients with hyperlipidemia are treated with more than one drug. Combining a fibric acid derivative such as gemfibrozil with which of the following is not recommended? - ✔✔ reductase inhibitors, due to an increased risk for rhabdomyolysis and hepatotoxicity
Hypertensive African Americans are typically listed as not being as responsive to which drug groups? - ✔✔ ACE inhibitors
Art is a 55-year-old smoker who has been diagnosed with angina and placed on nitrates. He complains of headaches after using his nitrate. An appropriate reply might be: - ✔✔ Headaches are common side effects with these drugs. How severe are they?
Mr. James is on niacin for dyslipidemia. He complains of cutaneous flushing with each dose. You instruct Mr. James to: - ✔✔ take 325 mg of aspirin 30 minutes prior to niacin dose
When starting a patient on a statin, education would include: - ✔✔ -If they stop the medication their lipid levels will return to pretreatment levels.
-Medication is a supplement to diet therapy and exercise.
-If they have any muscle aches or pain, they should contact their provider.
Beta blockers are prescribed for diabetics with caution because of their ability to produce hypoglycemia and block the common symptoms of it. Which of the following symptoms of hypoglycemia is not blocked by these drugs and so can be used to warn diabetics of possible decreased blood glucose? - ✔✔ Diaphoresis
Angina is produced by an imbalance between myocardial oxygen supply (MOS) and demand (MOD) in the myocardium. Which of the following drugs help to correct this imbalance by increasing MOS? - ✔✔ Angiotensin-converting-enzyme (ACE) inhibitors
Mr. B is a 43 year old man with a 15 year history of untreated HTN, now at 148/100. He is approximately 20 lbs overweight, a non-smoker, and rare social drinker. EKG results show LVH. Which of the following represents the best choice of antihypertensive agent for this man? - ✔✔ lisinopril
Most medications to treat HTN may cause an adverse drug reaction of impotence or decreased libido. The most common medication to cause this is? - ✔✔ bet-blockers
Fiber supplements are great options for elderly patients who have the concurrent problem of: - ✔✔ Long-term issues of constipation
The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is class: - ✔✔ II [Show Less]