Ch. 13 Cardiovascular System Flashcards

1
Q

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?

A

Stage 1 HTN

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2
Q

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

A

D.) all of the above

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3
Q

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?

A

< 1

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4
Q

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?

A

No

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5
Q

What is the number 1 recommendation to make to your patient with hypertension or dyslipidemia?

A

lose weight

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6
Q

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

A

HDL and triglycerides

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7
Q

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

A

LDL and Triglycerides

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8
Q

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?

A

No, only has 2 of 3 qualifiers

    • too high waist-circumference
  • -low HDL
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9
Q

The lab tests confirm hypertriglyceridemia in your 49 year old male patient. Overconsumption of _____________ is most likely to lead to this problem.

A

High glycemic carbs

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10
Q

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

A

D.) All of the above

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11
Q

Which supplement is most likely to benefit your patient with high triglycerides?

A.) Fish oil
B.) Mg+
C.) Vit D
D.) CoQ 10

A

Fish oil

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12
Q

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

A

B.) Replace unsaturated fat w/ carbs

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13
Q

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

A

C.) You should replace your processed food w/ healthier fats

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14
Q

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

A

B.) You should eat more plants, preferably root veggies and berries

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15
Q

What BP category is this:

– < 120 / < 80

A

normal BP

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16
Q

What BP category is this:

– 120-139 / 80-89

A

prehypertension

17
Q

What BP category is this:

– 140-159 / 90-99

A

Stage 1, HTN

18
Q

Wha BP category is this:

– > 160 / > 100

A

Stage 2, HTN

19
Q

What 5 etiologies are associated w/ primary HTN?

A
    • Increased Na+ and Decreased K+
    • alcohol
    • sedentary
    • smoking
    • overweight
20
Q

What 3 etiologies are associated w/ secondary HTN?

A
    • renal disease
    • CVD
    • endocrine/neurocrine disorders
21
Q

How much exercise is recommended for a patient w/ HTN?

A

150 min/wk of moderate intensity

22
Q

What are common nutritional diagnoses for your patient w/ HTN?

A

C: cheese
A: animal fats
G: got it away from home
E: Extra high-fat commercial products

23
Q

How many servings/day of fruit/veggies should a HTN patient get?

A

5-10 servings/day

24
Q

How much saturated fat is recommended for a patient w/ HTN?

A

< 7% of total energy

25
Q

How much overall energy should come from fat in a patient w/ HTN?

A

~30%

26
Q

What should the majority of carb intake be for a patient w/ HTN?

A

complex carbs

27
Q

How much cholesterol can a patient w/ HTN have on the TLC Diet?

A

< 200 mg/day

28
Q

How much cholesterol can a patient w/ HTN have on the AHA Diet?

A

< 300 mg/day

29
Q

For kids w/ HTN, what are 3 lifestyle changes they can make?

A

increase PA, follow DASH Diet, lose weight

30
Q

For adults w/ HTN, what are 3 lifestyle changes they can make?

A

DASH diet, lose weight, decrease Na+ intake

31
Q

What is the DASH Diet?

A

low-fat, low-sodium diet plan:

– plant-based, lean meats, nuts, seeds, low-fat dairy

32
Q

How many calories are allowed in the DASH diet?

A

~ 2000 Calories

33
Q

What are the macronutrient %’s for the DASH diet?

A

fat (MUFA) = 25-30%
protein = 25%
carbs 40-55%

34
Q

What is the overall theme for the DASH diet?

A

limit foods that have more mg sodium than Cal/serving

35
Q

In order to be diagnosed w/ metabolic syndrome you have to have 3 of what 5 following risk factors?

A
low HDL
high triglycerides
Type 2 diabetes
HTN
increased waist-circumference
36
Q

What 4 interventions would you recommend for high LDL?

–(besides what you would do for HDL)

A

soy/soluble fiber
nuts
decrease fat intake
guggul

37
Q

What 4 interventions would you recommend for low HDL?

A
  • -Mediteranian diet
  • -green tea, niacin, read yeast rice
  • -policosanol
  • -wt loss
38
Q

What interventions would you recommend for high TG?

A

wt loss / exercise
green tea, niacin, red yeast rice
fish/fishoil