cardiovascular 3

Question 1

When should beta blockers be avoided?

Answer 1

In patients with lower airway disease

may use cardio-selective metoprolol in low doses with asthma and COPD

Question 2

What medication causes gynecomastia

Answer 2

aldosterone antagonist aldactone

Question 3

HTN urgency vs HTN EMERGENCY

Answer 3

both with BPs >180/120
Emergency presents with evidence of impending or progressive target organ damage TOD for ex: HF, pulmonary edema, retinopathy

Question 4

Intervention for HTN urgency vs emergency

Answer 4

urgency: restart/or intensify medications
emergency: ER for a slow titration of BP

Question 5

which lipid level is the only one affected by fasting?

Answer 5

triglycerides

Question 6

Statins lower LDL levels, what does Omega 3 fatty acid lower?

Answer 6

triglycerides
must use prescription-strength 4gm dose
remember the adverse effect of increased bleeding

Question 7

when should hepatic enzymes be monitored for statin use?

Answer 7

prior to initiation of treatment NO further monitoring is recommended

Question 8

a dangerous side effect of statin use?

Answer 8

rhabdomylosis

Question 9

Advise your patient on a statin to avoid what fruit juice die to its intestinal CYP450-3A4 inhibitor properties?

Answer 9

grapefruit

Question 10

What LDL level requires a high intensity statin?

Answer 10

> 190

Question 11

what group of patients need moderate-intensity statin?

Answer 11

DM

Question 12

What is the LDL goal?

Answer 12

<100