Cardio

Question 1

Postrual HTN

Answer 1

Drop in SBP > 20 or DBP > 10 sitting to standing

• If HR drops by > 15 BPM consider hypovolemia
• If no change in HR consider medication or neuro causes ( Parkinson’s or Diabetic autonomic Neuropathy)

Question 2

Definition of malignant HTN

Answer 2

HTN associated with papilledema, encephalopathy, renal disease or aortic dissection. Will progress to renal failure if untreated

Question 3

Initial pharmacotherapy for tx of Aortic disection

Answer 3

Nitroprusside and labetalol or esmolol

Question 4

MO of Niacin

Answer 4

Nicotinic acid. Vitamin B3

Question 5

First line drugs for hypertriglyceridemia

Answer 5

• Niacin (Nicotinic acid)

- Gemfibrazole(fenofibrate)

Question 6

Indication for cholestyramine

Answer 6

High LDL

Question 7

Indication for Ezetimibe

Answer 7

Hygh LDL- both monotherapy and adjunct with a stain

Question 8

MOA for Ezetimibe

Answer 8

Reduces cholesterol absorption in the gut

Question 9

Lithium toxicity effects what structure and causes which condition.

Answer 9

• Effects the collecting duct

- leads to Peripheral DI

Question 10

Serum markers indicating acromegaly

Answer 10

_ High IGF and high GF

Question 11

Health maintenance recommendations for acromegaly

Answer 11

• Echo
• Colonoscopy
• Lifelong monitoring of IGF and GH

Question 12

Medication for treating hyperthyroidism

Answer 12

Propylthirouacil

Question 13

Thiamine is also called

Answer 13

Vitamin B12