Ch. 13 Cardiovascular System Flashcards
You just completed a re-evaluation of Ned, your 68 year old patient. His BMI is 32.4 kg/m2, waist circumference of 41 inches and blood pressure reading of 148/87 mm Hg. What category does his blood pressure fall into?
Stage 1 HTN
Ned, your 68 year old patient, is a sedentary male, who reportedly consumes the SAD diet. Which may be a cause of his elevated blood pressure?
A.) inactive lifestyle
B.) excessive Na intake
C.) inadequate K intake
D.) All of the above
D.) all of the above
Fred is a lean 42 year old male whose blood pressure has been slightly elevated upon recent visits. You suggest that he watch his sodium and potassium intakes. What should the sodium:potassium ratio be?
< 1
Jane, your 51 year old female patient, has been battling stage 2 hypertension for several years. Should you recommend that she begin a rigorous exercise program?
No
What is the number 1 recommendation to make to your patient with hypertension or dyslipidemia?
lose weight
Mary, your 31 year old patient, brings in her most recent labs from her M.D. Which is abnormal?
–Triglycerides = 175 mg/dL
–Total cholesterol = 198 mg/dL
–HDL = 48 mg/dL
–LDL = 95 mg/dL
HDL and triglycerides
Jerry, your 28 year old patient, brings in his most recent labs from his M.D. Which is abnormal?
–Triglycerides = 175 mg/dL
–Total cholesterol = 198 mg/dL
–HDL = 61 mg/dL
–LDL = 103 mg/dL
LDL and Triglycerides
Jim has a waist circumference of 43 inches, triglyceride level of 145 mg/dL, HDL of 49 mg/dL, blood pressure of 128/76 mm Hg, and fasting glucose of 99 mg/dL. According to his history, he has been taking medication for hypertension and hypertriglyceridemia for 6 years. Can you diagnose him with Metabolic Syndrome?
No, only has 2 of 3 qualifiers
- too high waist-circumference
- -low HDL
The lab tests confirm hypertriglyceridemia in your 49 year old male patient. Overconsumption of _____________ is most likely to lead to this problem.
High glycemic carbs
Several diets have been shown to decrease the risk of cardiovascular disease. What are the common recommendations between all the diets?
A.) Whole foods diet
B.) Low in trans fat and added sugars
C.) Higher in K+
D.) All of the above
D.) All of the above
Which supplement is most likely to benefit your patient with high triglycerides?
A.) Fish oil
B.) Mg+
C.) Vit D
D.) CoQ 10
Fish oil
Your new patient Jen has a family history of heart disease on both sides of her family. What recommendation should you NOT make?
A.) Replace carbs w/ long chain saturated fats
B.) Replace unsaturated fat w/ carbs
C.) Replace trans fat w/ MUFA
D.) Replace saturated fat w/ PUFA
B.) Replace unsaturated fat w/ carbs
Your new patient Jen has a family history of heart disease on both sides of her family. Which is a recommendation to make at her first nutritional counseling session?
A.) you should increase your intake of sausage and pepperoni
B.) You should eat more plants, preferably root veggies and berries
C.) You should replace your processed food w/ healthier fats
D.) You should replace corn oil w/ cooking w/ coconut oil
C.) You should replace your processed food w/ healthier fats
Your new patient Jen has a family history of heart disease on both sides of her family. Which is a recommendation to make at her second nutritional counseling session?
A.) you should increase your intake of sausage and pepperoni
B.) You should eat more plants, preferably root veggies and berries
C.) You should replace your processed food w/ healthier fats
D.) You should replace corn oil w/ cooking w/ coconut oil
B.) You should eat more plants, preferably root veggies and berries
What BP category is this:
– < 120 / < 80
normal BP