Signs and symptoms of digitalis toxicity include:
constipation and muscle spasms.
bradycardia and tinnitus.
headache and dizziness.
... [Show More] blurred vision and persistent diarrhea.
Question:
A side effect of beta-blockers that is more common in children than adults is:
decreased appetite.
muscle weakness.
vivid dreams.
a cough that produces mucus.
Question:
Spironolactone (Aldactone) is highly protein bound and has a duration of:
6 hours.
12 hours.
24 hours.
48 hours.
Question:
Nonselective beta-blockers block the stimulation of:
beta-1 receptors in the heart.
beta-2 receptors in the lungs.
both beta-1 receptors in the heart and beta-2 receptors in the lungs.
neither beta-1 receptors in the heart nor beta-2 receptors in the lungs.
Question:
Dabigatran (Pradaxa), an anticoagulant, is also classified as a:
direct factor Xa inhibitor.
direct thrombin inhibitor.
indirect thrombin inhibitor.
factor V inhibitor.
Question:
The brand name for candesartan cilexetil is:
Atacand.
Avandia.
Benicar.
Cozaar.
Question:
Gemfibrozil (Lopid), for the treatment of hypertriglyceridemia, is classified as a:
bile acid sequestrant.
nicotinic acid.
fibric acid.
statin.
Question:
In patients with normal renal function, the diuretic that has the greater antihypertensive effect is:
osmotic diuretics.
thiazide diuretics.
loop diuretics.
potassium-sparing diuretics.
Question:
An adverse effect of statin therapy for the treatment of hyperlipidemia is:
hypertension.
myalgia.
hypoglycemia.
edema.
Question:
Nitroglycerin sublingual (Nitrostat) tablets should be stored:
in a dark bottle, with the patient carrying all tablets at all times.
in a dark container in the refrigerator, with only a small quantity kept with the patient.
in a tightly capped medicine bottle at room temperature.
in a tightly sealed bag or container in a purse or wallet.
Question:
Patients taking warfarin (Coumadin) therapy should:
increase intake of vitamin K-enriched foods.
avoid intake of vitamin K-enriched foods.
maintain a consistent intake of vitamin K-enriched foods.
decrease intake of vitamin K-enriched foods.
Question:
Non-dihydropyridine calcium channel blockers (i.e. verapamil) may be safely used in patients with:
heart failure.
bradycardia.
second-degree AV block.
chronic stable angina.
Question:
The generic name for Lopressor is:
atenolol.
metoprolol tartrate.
carvedilol.
bisoprolol.
Question:
A patient is taking isosorbide dinitrate (Isordil) at 8 am, 2 pm and 9 pm and reports that the medication is no longer effective. The nurse practitioner knows that:
this is the correct time interval and the dose should be increased.
the dosing interval should be changed to allow a 14-hour nitrate-free interval.
the dosing interval should be every 12 hours.
the patient should be switched to transdermal delivery for better efficacy.
Question:
Of the angiotensin receptor blockers (ARBs) used in the treatment of hypertension, the one with the longest biological half-life at 24 hours is:
irbesartan (Avapro).
losartan (Cozaar).
olmesartan (Benicar).
telmisartan (Micardis).
Question:
A patient who has warfarin (Coumadin) toxicity should be treated with:
charcoal.
platelets.
vitamin K.
prothrombin.
Question:
Clopidogrel (Plavix), an anticoagulant, may be coadministered with:
aspirin (Ecotrin).
fluoxetine (Prozac).
omeprazole (Prilosec).
ibuprofen (Motrin).
Question:
Which of the following drugs blocks the action of aldosterone in order to produce diuresis?
Furosemide (Lasix)
Hydrochlorothiazide (Microzide)
Spironolactone (Aldactone)
Bumetanide (Bumex)
Question:
The lipid-lowering agent that has been proven most effective in raising high-density lipoprotein levels is:
the statin class.
the bile acid sequestrant class.
nicotinic acid.
fibric acid.
Question:
A patient taking spironolactone (Aldactone) has a serum potassium of 5.8 meq/L. The nurse practitioner should:
discontinue spironolactone (Aldactone) immediately.
discontinue the spironolactone (Aldactone) and administer kayexalate.
hold spironolactone (Aldactone) until hyperkalemia is resolved.
discontinue spironolactone (Aldactone) and begin a thiazide diuretic.
Question:
The mechanism of action of angiotensin-converting enzyme (ACE) inhibitors in lowering blood pressure is to:
block the formation of angiotensinogen in the liver.
convert angiotensin I to angiotensin II in the myocardium.
inhibit the enzyme that converts angiotensin I to angiotensin II in the serum.
inhibit the conversion of angiotensin enzyme production by the kidneys.
Question:
The diuretic that blocks the reabsorption of sodium and water in the loop of Henle to produce diuresis is:
furosemide (Lasix).
hydrochlorothiazide (Microzide).
spironolactone (Aldactone).
triamterene (Dyrenium).
Question:
A 2-year-old child has a history of heart failure. To increase the force of ventricular contraction and decrease heart rate, the most appropriate drug choice is:
captopril (Capoten).
enalapril (Vasotec).
diltiazem (Cardizem).
digoxin (Lanoxin).
Question:
A common side effect of cardioselective beta-blockers such as labetalol (Trandate) is:
weight loss.
shortness of breath.
tachycardia.
facial swelling.
Question:
A patient is receiving furosemide (Lasix) for edema secondary to heart failure. The patient should be informed that furosemide (Lasix) may cause:
hyperglycemia.
hypouricemia.
hypermagnesemia.
hyponatremia.
Question:
The loop diuretic with the longest half-life is:
furosemide (Lasix).
torsemide (Demadex).
bumetanide (Bumex).
hydrochlorothiazide (Microzide).
Question:
Angiotensin-converting enzyme (ACE) inhibitors such as ramipril (Altace) should not be used:
in the presence of bilateral renal artery stenosis.
after a myocardial infarction.
for prevention of diabetic nephropathy in the presence of normal blood pressures.
in patients with dilated cardiomyopathy.
Question:
A child who is receiving furosemide (Lasix) to treat heart failure should be monitored for:
potassium level greater than 4.0 mEq/L.
muscle cramps.
vomiting and diarrhea.
oliguria.
Question:
Enoxaparin (Lovenox) is classified as a(n):
ADP receptor antagonist.
factor Xa inhibitor.
low molecular weight heparin.
direct thrombin inhibitor.
Question:
When prescribing nitroglycerin for the treatment of angina, the first-pass effect bioavailability should be considered with:
sublingual nitroglycerin 0.4 mg.
intravenous nitroglycerin 200 mcg/min.
oral nitroglycerin 2.5 mg ER
topical nitroglycerin 1 inch.
Question:
Isosorbide dinitrate (Isordil) is indicated for the treatment of:
acute angina.
chronic angina.
myocardial infarction.
esophageal spasm.
Question:
A patient with a prosthetic heart valve is taking warfarin (Coumadin) therapy. The appropriate action prior to dental surgery is to:
hold the warfarin (Coumadin) 5 days prior to surgery and begin a low molecular weight heparin.
hold the warfarin (Coumadin) 2 days before surgery and resume immediately afterwards.
decrease the dose of warfarin (Coumadin) by 50% for the week prior to surgery.
hold warfarin (Coumadin) 3 days prior to surgery and administer vitamin K about 2 hours prior to surgery.
Question:
The efficacy of angiotensin receptor blockers (ARBs) may be enhanced, without an increase in side effects, when administered in combination with:
aliskiren (Tekturna).
chlorothiazide (Diuril).
ramipril (Altace).
spironolactone (Aldactone).
Question:
A 3-year-old patient has a history of congenital heart disease. To reduce the afterload and decrease right and left atrial pressures, the drug of choice should be:
lisinopril (Prinivil).
captopril (Capoten).
benazepril (Lotensin).
ramipril (Altace).
. Among the choices, captopril (Capoten) is the only ACE inhibitor that is indicated for children younger than 6 years.
Question:
Statins lower cholesterol by:
competitively inhibiting HMG-CoA reductase.
promoting the action of lipoprotein lipase.
modulating the low-density lipoprotein (LDL) receptor and ligand interaction.
limiting substrate availability for triglyceride synthesis in the liver.
Question:
The negative inotropic activity of nifedipine (Adalat CC) that leads to an exacerbation of heart failure may be further pronounced if combined with:
angiotensin-converting enzyme inhibitors.
nitrates.
beta-blockers.
angiotensin receptor blockers.
Question:
Which beta-blocker is highly variable in bioavailability, has a shorter plasma half-life, is mostly lipid-soluble, and is almost completely absorbed by the small intestine?
Nebivolol (Bystolic)
Sotalol (Betapace)
Atenolol (Tenormin)
Metoprolol (Lopressor)
Question:
Avoid concomitant use of oral digoxin (Lanoxin) and:
ibuprofen (Advil).
famotidine (Pepcid).
acetaminophen (Tylenol).
levothyroxine (Synthroid).
Question:
A patient being treated with enoxaparin (Lovenox) twice daily for atrial fibrillation is scheduled for surgery. The patient should be advised to:
refrain from taking the enoxaparin (Lovenox) dose on the morning of surgery.
refrain from taking the enoxaparin (Lovenox) dose 24 hours prior to surgery.
refrain from taking the enoxaparin (Lovenox) 36 hours prior to surgery.
reduce the dose by 50% 2 days prior to surgery and refrain from dosing on the morning of surgery.
.
Question:
The onset of anticoagulation action for warfarin (Coumadin) is:
4-6 hours.
8-10 hours.
12-24 hours.
24-72 hours.
.
Question:
Beta-blockers such as atenolol (Tenormin) should not be used in patients with:
a history of myocardial infarction.
a diagnosis of heart failure.
variant (Prinzmetal) angina.
stable angina.
Question:
Gemfibrozil (Lopid) should NOT be administered in combination with:
atorvastatin (Lipitor).
montelukast (Singulair).
glimepiride (Amaryl).
clindamycin (Cleocin).
Question:
Enoxaparin (Lovenox), used in the prevention of deep vein thrombosis, should be administered:
twice daily by mouth.
daily via intramuscular injection.
twice daily via subcutaneous injection.
weekly via subcutaneous injection.
Question:
Angiotensin II receptor blockers (ARBs) lower blood pressure by:
blocking vasodilation and water retention effects of angiotensin II.
suppressing the renin-angiotensin-aldosterone system.
blocking the vasoconstricting and sodium retention effects of angiotensin II.
blocking beta receptors in the heart, resulting in a decrease in myocardial contractility.
Question:
Protamine sulfate, used to reduce the bleeding caused by low molecular weight heparin, should be used cautiously in patients who are allergic to:
sulfa drugs.
aspirin.
nuts.
fish.
Question:
Aliskiren (Tekturna), a renin inhibitor, is indicated for the treatment of:
atrial fibrillation.
left ventricular hypertrophy.
primary essential hypertension.
stable angina.
Question:
The dosage of apixaban (Eliquis) in the treatment of nonvalvular atrial fibrillation should be reduced for the patient with a(n):
weight between 60-80 kg.
serum creatinine greater than 1.5 mg/dL.
weight greater than 120 kg.
age older than 65 years.
Question:
A patient is receiving atenolol (Toprol XL) for angina and needs to be started on a second agent for hypertension. Caution should be used if prescribing:
lisinopril (Prinivil).
losartan (Cozaar).
verapamil (Verelan).
hydrochlorothiazide (Microzide).
Question:
While taking aliskiren (Tekturna), the patient should be advised to avoid:
almonds.
grape juice.
salt substitutes.
calcium-containing products.
Question:
Which medication is considered a cholesterol absorption inhibitor?
Gemfibrozil (Lopid)
Colestipol (Colestid)
Fluvastatin (Lescol)
Ezetimibe (Zetia)
Explanation:
Ezetimibe (Zetia) is classified as a cholesterol absorption inhibitor. Fluvastatin (Lescol) is a statin. Colestipol (Colestid) is a bile acid sequestrant. Gemfibrozil (Lopid) is a fibric acid.
Question:
Inotropes (positive or negative) are indicated for patients diagnosed with:
hypertension.
stable angina.
atrial fibrillation.
acute coronary syndrome.
Question:
The side effect profile of angiotensin receptor blockers (ARBs) is similar to the side effects of:
angiotensin-converting enzymes (ACE) inhibitors.
beta-blockers.
calcium channel blockers.
pressors.
Question:
Which of the following is a brand name for enoxaparin?
Xarelto.
Fragmin.
Lovenox.
Aggrenox.
Question:
To reduce the risk of cardiovascular events in patients with asymptomatic peripheral arterial disease, the patient should be treated with:
aspirin (Ecotrin)
enoxaparin (Lovenox).
rivaroxaban (Xarelto).
warfarin (Coumadin).
Question:
Beta-blockers that block the beta-2 receptors may cause:
decreased perfusion of target organs.
bronchoconstriction.
decreased insulin secretion.
increased gastrointestinal mobility.
Question:
Warfarin (Coumadin) therapy may be safely used by a patient who has:
active tuberculosis.
moderate renal impairment.
chronic obstructive pulmonary disease.
malnutrition.
Question:
The recommended pharmacologic management of elevated low density lipoprotein (LDL) cholesterol in primary prevention of cardiovascular disease is:
bile acid sequestrants.
fibric acids.
nicotinic acid.
statin therapy.
Question:
Concomitant use of beta-blockers with digitalis glycosides can increase the risk of:
hypertension.
hypokalemia.
bradycardia.
hyperglycemia.
Question:
Baseline and periodic monitoring for patients receiving hydralazine (Apresoline) should include serum:
liver function tests.
thyroid panel.
complete blood count.
blood urea nitrogen and creatinine.
Question:
The recommended prophylactic treatment agent for infective endocarditis is:
clindamycin (Cleocin).
cephalexin(Keflex).
amoxicillin (Amoxil).
clarithromycin (Biaxin).
Question:
Bile acid sequestrants such as colesevelam (Welchol):
are metabolized by the liver and block the formation of low-density lipoproteins by bile acids.
bind to bile acids in the stomach and prohibit the absorption of cholesterol in the intestines.
bind to bile acids and excrete them in feces, forcing the liver to use cholesterol to produce more bile acids.
prohibit the exchange of sodium ions with bile acids, therefore inhibiting the production of cholesterol.
Question:
Ranolazine (Ranexa) is indicated in the treatment of:
acute angina.
acute coronary syndrome.
intermittent claudication.
chronic angina.
Question:
Gemfibrozil (Lopid) should be discontinued if:
a mild decrease in hemoglobin is experienced.
symptoms of biliary colic are present.
the patient complains of syncope.
the patient develops cataracts.
Question:
A 52-year-old man is receiving metoprolol tartrate (Lopressor) after a myocardial infarction. This patient should be educated to:
stop the medication abruptly if any side effects occur.
take an extra dose if he experiences angina.
take two tablets if he misses a dose.
avoid abruptly stopping the medication.
Question:
Hydralazine (Apresoline) is indicated for the treatment of:
hypertrophic cardiomyopathy.
coronary artery disease.
unstable angina.
hypertension.
Question:
By decreasing cardiac output, beta-blockers may also:
increase sympathetic stimulation.
strengthen myocardial contractibility.
increase mortality associated with heart failure.
worsen symptoms of peripheral arterial disease.
Question:
The generic name for Vasotec is:
benazepril.
captopril.
enalapril.
verapamil.
.
Question:
It is safe to use ranolazine (Ranexa) concomitantly with:
fluconazole (Diflucan).
phenytoin (Dilantin).
amlodipine (Norvasc).
clarithromycin (Cleocin).
Question:
The medication that produces vasodilation and thus lowers blood pressure by inhibiting the formation of angiotensin II is:
amlodipine (Norvasc).
losartan (Cozaar).
enalapril (Vasotec).
metoprolol (Lopressor).
Question:
The maximum benefits of fibrates on triglyceride reduction occur at approximately:
2 weeks.
4 weeks.
6 weeks.
10 weeks.
Question:
For the patient receiving dabigatran (Pradaxa) who needs anticoagulation reversal, the nurse practitioner knows that:
no reversal agent is available.
vitamin K should be administered.
idarucizumab (Praxbind) is the emergency reversal agent.
administration of fresh frozen plasma is the only available option.
Question:
Bile acid sequestrants to treat hypercholesterolemia should be dosed:
on an empty stomach.
with milk prior to bedtime.
mixed in carbonated beverages.
1 hour before or 4 hours after other medications.
Question:
Direct thrombin inhibitors such as dabigatran (Pradaxa) are NOT indicated for:
the prevention of venous thromboembolism.
patients with atrial fibrillation.
the treatment of acute coronary syndrome.
patients with prosthetic heart valves.
Question:
An adverse reaction to angiotensin receptor blockers (ARBs) used in the treatment of hypertension is:
photosensitivity.
hypokalemia.
angioedema.
Barrett's esophagus.
Question:
Beta-blockers that block the beta-1 receptors cause a(n):
increase in heart rate.
increase in respiratory rate.
decrease in cardiac output.
decrease in respiratory rate.
Question:
Aliskiren (Tekturna), used in the treatment of essential hypertension, is classified as a(n):
alpha agonist.
aldosterone receptor antagonists.
calcium channel blocker.
direct renin inhibitor.
Question:
Loop diuretics such as bumetanide (Bumex):
produce a large volume of diuresis even at very low doses.
are more commonly used in patients with a decreased glomerular filtration rate.
reduce blood pressure as effectively as thiazide diuretics when used as monotherapy.
can be safely administered to patients who have sulfonamide agent allergies.
Question:
Initial and routine monitoring of patients receiving spironolactone (Aldactone) includes:
serum potassium, blood urea nitrogen and creatinine.
urine aldosterone and potassium levels.
serum platelets and liver function.
serum CBC and TSH.
Question:
Signs of digoxin toxicity in a 2-year-old with heart failure is:
tachycardia and difficulty feeding.
lethargy, nausea, and/or vomiting.
tachypnea, respiratory distress (retractions), grunting.
diaphoresis during feedings and failure to thrive.
Question:
Patients should be advised to take ezetimibe (Zetia), a cholesterol absorption inhibitor,:
at least 2 hours after a statin.
only with meals.
at the same time as bile acid sequestrants.
without regard to meals.
Question:
The peak effect of enalapril (Vasotec), an angiotensin-converting enzyme (ACE) inhibitor, occurs in:
1 hour.
3 hours.
5 hours.
8 hours.
Question:
An angiotensin II receptor blocker (ARB) that is indicated for the treatment of hypertension in children younger than 6 years old is:
ramipril (Altace).
candesartan (Atacand).
amlodipine (Norvasc).
losartan (Cozaar).
Question:
Apixaban (Eliquis) may be a better choice than warfarin (Coumadin) in the patient who:
is pregnant.
has heparin-induced thrombocytopenia.
has renal impairment.
is uninsured.
Question:
Increased toxicity effects may be experienced when administering furosemide (Lasix) with:
amoxicillin (Amoxil).
captopril (Capoten).
gentamicin (Garamycin).
budesonide (Entocort).
Question:
Patients receiving short-acting nitrates for the management of acute angina should be advised of the potential for:
headaches and postural hypotension.
bradycardia and tinnitus.
headaches and hypertension.
dizziness and constipation.
Question:
A common side effect of niacin (Niaspan) is:
hair loss.
dry mouth.
joint pain.
flushing.
Question:
The mechanism of action of angiotensin receptor blockers (ARBs) in lowering blood pressure is to:
block the receptor sites of angiotensinogen in the liver.
block the angiotensin I receptors in the cardiomyocytes and fibroblasts.
inhibit the binding of angiotensin II to receptor sites on vascular smooth muscles.
inhibit the conversion of angiotensin I to angiotensin II, blocking the renin-angiotensin system.
Question:
Reduced doses of lovastatin (Mevacor) are recommended when used concomitantly with:
losartan (Cozaar).
verapamil (Calan).
glimepiride (Amaryl).
phenytoin (Dilantin).
Question:
Nitrates cause vasodilation of veins and coronary arteries by:
blocking acetylcholine receptors in the myocardium.
sympathetic stimulation of arterioles in skeletal muscle.
relaxing vascular smooth muscles to lower preload.
reducing the effects of atrial natriuretic peptide in the myocardium.
Question:
The brand name for isosorbide dinitrate is:
Nipride.
Nifediac.
Isordil.
Isuprel.
Question:
Aliskiren (Tekturna) should not be administered concurrently with:
angiotensin-converting enzyme (ACE) inhibitors.
amphetamines.
antipsychotic agents.
barbiturates.
Question:
Triamterene (Dyrenium), a diuretic, should not be used in the presence of:
hypokalemia.
anuria.
edema secondary to cirrhosis.
idiopathic edema.
Question:
An example of a cardioselective beta-blocker used in the treatment of heart failure is:
nicardipine (Cardene).
losartan (Cozaar).
metoprolol (Lopressor).
propranolol (Inderal).
Question:
What is the earliest time a digoxin level can be obtained on a patient whose most recent dose was at 7 am?
9:00 AM
10:00 AM
12:00 PM
1:00 PM
Question:
A common side effect of angiotensin II receptor blockers (ARBs) such as candesartan (Atacand) is:
tinnitus.
hypertension.
hyperkalemia.
hypernatremia.
Question:
Nifedipine (Adalat CC), a calcium channel blocker, is indicated in the treatment of:
heart failure.
cardiovascular shock.
chronic stable angina.
ST-elevation myocardial infarction.
Question:
Aspirin can be prescribed for children who have rheumatic fever, pericarditis, or:
fever associated with varicella.
Kawasaki disease.
thrombocytopenic purpura.
hemophilia.
Question:
Fibric acid derivatives such as fenofibrate (Tricor) should be discontinued if:
AST increases from 35 units per liter to 45 units per liter.
low-density lipoprotein decreases from 200 mg/dL to 145 mg/dL.
high-density lipoprotein decreases from 50 mg/dL to 10 mg/dL.
white blood cell counts decrease from 4.5 109 per liter (L) to 3.3 109 per liter (L).
Question:
Cardioselective beta-blockers:
specifically block beta-1 receptors.
should never be administered to patients who have asthma.
are recommended as first-line treatment for hypertension.
should be discontinued 5 days prior to surgery.
Question:
Baseline and follow-up monitoring of ranolazine (Ranexa) should include:
serum transaminase and potassium.
serum BUN, creatinine and ECG.
blood pressure, pulse and CPK.
urine protein and CBC.
Question:
Acetaminophen (Tylenol) use in infants and children is:
calculated at 10-15 mg/kg/dose with a maximum of 4 g/24 hours.
a potent anti-inflammatory and is preferred over ibuprofen (Motrin).
not used in the presence of viruses due to the potential for Reye's syndrome.
administered as needed every 8 hours with a maximum of 2 g/24 hours.
Question:
Warfarin (Coumadin) should be administered:
daily with or without food.
daily, only on an empty stomach.
twice daily with food.
three times daily with or without food.
Question:
Patients who are started on olmesartan (Benicar) should be advised to report:
bladder spasms and dysuria.
constipation and weakness.
diarrhea and weight loss.
metallic taste and easy bruising.
Question:
Ranolazine (Ranexa) exerts antianginal and anti-ischemic effects by:
donating nitric oxide to induce relaxation and vasodilation.
inhibiting the ability of calcium to serve as an intracellular messenger.
blocking voltage-gated potassium channels, terminating action potentials.
reducing sodium concentrations and calcium influx, thus decreasing oxygen consumption.
Question:
What is the maximum half-life elimination of warfarin (Coumadin)?
8 hours
12 hours
16 hours
60 hours
Question:
Thiazide diuretics are indicated for the treatment of:
hypokalemia.
hypercalcemia.
hypertension.
urinary retention.
Question:
A disadvantage of vitamin K antagonists for anticoagulation is their:
decreased efficacy.
numerous medication interactions.
expense and availability.
predictable pharmacokinetics.
Question:
An example of a dihydropyridine calcium channel blocker is:
nebivolol (Bystolic).
verapamil (Calan).
diltiazem (Cardizem).
amlodipine (Norvasc).
Question:
To reduce the flushing effects caused by nifedipine (Adalat CC), it should be taken with:
grapefruit.
milk.
an aspirin.
low-fat meals.
Question:
The brand name for hydralazine is:
Apresoline.
Imdur.
Nipride.
Vistaril.
.
Question:
When prescribing angiotensin-converting enzyme (ACE) inhibitors for the treatment of hypertension, the patient should be instructed to:
take the medication with food.
return to the clinic for blood pressure checks every 3 months.
avoid adding potassium supplements to the diet.
expect a decrease in urinary output.
Question:
Increased adverse events are likely with the concomitant use of angiotensin-converting enzyme (ACE) inhibitors such as ramipril (Altace) and:
digoxin (Lanoxin).
irbesartan (Avapro).
acebutolol (Sectral).
furosemide (Lasix).
Question:
A common side effect of angiotensin-converting enzyme (ACE) inhibitors used in the treatment of hypertension is:
tinnitus.
impotence.
hypokalemia.
a dry cough. [Show Less]