3rd Assessment Flashcards

1
Q

In older individuals, diastolic blood pressure is a more powerful predictor of cardiovascular disease than
systolic blood pressure and pulse pressure.

  • True
  • False
A

False

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2
Q

More than 1 in every 5 deaths in the Philippines, is caused by diseases of the heart.

  • True
  • False
A

True

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3
Q

This drug is sometimes used to treat cyanide toxicity

A

Amyl nitrite

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4
Q

Which statement regarding hypertension is inaccurate?

  • Cardiovascular disease risk doubles for every 20-mmHg increase in systolic and 10-mmHg increase in diastolic pressure
  • Hypertension is diagnosed after 2 or more BP readings on 2 or more visits
  • Diastolic blood pressure is a more powerful predictor for cardiovascular disease in the elderly than systolic pressure and pulse pressure
  • Most cases of hypertension have no identifiable causative conditions
A

Diastolic blood pressure is a more powerful predictor for cardiovascular disease in the elderly than systolic pressure and pulse pressure

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5
Q

Which beta-blocker is nonselective and contraindicated in asthma?

A

Carvedilol

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6
Q

A 52-year-old man complained to his physician of acute pain at the base of his right toe. The man was recently diagnosed with essential hypertension and started an antihypertensive therapy 1 month ago. The lab test showed a plasma uric acid level of 17 mg/dL. Which is of the following drugs is most likely to have caused the signs and symptoms of this patient?

  • Captopril
  • Prazosin
  • Hydrochlorothiazide
  • Methyldopa
A

Hydrochlorothiazide

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7
Q

A patient with severe depression and hypertension is taking a MAO inhibitor. Which among the following would you advise his family to avoid serving to the patient?

  • Cream cheese and ricotta cheese
  • Sausages and ham
  • Wheat bread and pasta
  • Broccoli and carrots
A

Sausages and ham

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8
Q
Angiotensin II Receptor Blocker 
• Prazosin
• Captopril
• Spironolactone
• Losartan
• Amlodipine
A

Losartan

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9
Q

Upon taking nitroglycerin, which side effect will the patient most commonly experience?

A

Throbbing Headache

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10
Q

Higher doses of thiazide diuretics are generally not recommended due to an increased incidence of metabolic
side effects such as insulin resistance and increased cholesterol levels.
• True
• False

A

True

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11
Q

A 57-year-old homeless man has a history of hypertension. He usually takes an antihypertensive agent but
has not been able to buy the medication. He stopped taking the drug yesterday and now collapsed in front of a
shopping mall. Rescue squad arrives on the scene, and the patient’s blood pressure is 190/110 mmHg. Which
of the following drugs can precipitate a hypertensive crisis following abrupt cessation of therapy?

  • Losartan
  • Clonidine
  • Diltiazem
  • Enalapril
  • Hydrochlorothiazide
A

Clonidine

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12
Q

A 57-year-old man presents to his physician for follow-up. He is found to have a blood pressure of 150/100 mmHg on 3 successive occasions. He has begun taking an antihypertensive agent. After taking the first dose of the medication, he goes out to play golf and collapses on the golf course. Which one of the following drugs may be responsible for his symptoms?

  • Metoprolol
  • Prazosin
  • Verapamil
  • Atenolol
A

Prazosin

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13
Q

In giving health education to a post-MI patient, which statement is correct?
• Cholesterol is found in both animal and plant-based products
• Saturated fats are good for the heart
• Avoid or lessen meat intake, but eggs are a rich source of protein, thus need not be limited.
• Substitution of saturated fats by polyunsaturated fats causes a 24-25% lower risk of cardiovascular
disease.

A

Substitution of saturated fats by polyunsaturated fats causes a 24-25% lower risk of cardiovascular
disease.

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14
Q

A drug that may be used for severe HPN and also as a treatment for baldness

A

Minoxidil

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15
Q

Which of the following is not included in the management of vasospastic angina?

  • Nitrates
  • Beta blockers
  • Lifestyle modification
  • Calcium channel blockers
A

Beta blockers

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16
Q

An ACE inhibitor

  • Triamterene
  • Doxazosin
  • Verapamil
  • Telmisartan
  • Captopril
A

Captopril

17
Q

A Calcium-Channel Blocker

  • Minoxidil
  • Clonidine
  • Prazosin
  • Propanolol
  • Nicardipine
A

Nicardipine

18
Q

Which drug is not used to treat/manage angina?

  • Furosemide
  • Metoprolol
  • Isosorbide dinitrate
  • Amlodipine
A

Furosemide

19
Q

The body responds with minimal compensatory responses to the following medications except:

  • Captopril
  • Metoprolol
  • Hydrochlorothiazide
  • Hydralazine
A

Hydralazine

20
Q

The body responds with minimal compensatory responses to the following medications except:

  • Captopril
  • Metoprolol
  • Hydrochlorothiazide
  • Hydralazine
A

Hydralazine

21
Q

Sodium restriction for hypertensive patients:

A

<1500 mg/day

22
Q

In the stepped care approach of treating hypertension, the first step is:

A

To give diuretics

23
Q

An antianginal drug that decreases cardiac work by inhibiting the If sodium current in the SA node resulting in decreased heart rate.

A

Verapamil

24
Q

A 47-year-old man recently diagnosed with exertional angina started treatment with sublingual nitroglycerin, as
needed, and oral isosorbide mononitrate. Which of the following is a potential detrimental effect of nitrates in
the prophylactic treatment of exertional angina?
• Increased capacitance of systemic veins
• Decreased arterial pressure
• Increased cardiac rate
• Decreased ejection time

A

Decreased arterial pressure

25
Q

Which is incorrect regarding Vasospastic Angina?
• Treated with nitrates, calcium channel blockers, and beta blockers
• Spasm usually occurs at the site of atherosclerotic plaque
• May occur anytime, even during sleep
• Also called Prinzmetal’s angina

A

Treated with nitrates, calcium channel blockers, and beta blockers

26
Q

The following are tyramine-rich foods that must be avoided while taking MAO inhibitors, except:

  • Corned beef
  • Spinach
  • Soy sauce
  • Cheddar
A

Corned beef

27
Q

Recommended Daily Allowance of Cholesterol:

A

300 mg/day