Module 10 Questions: HF & HTN

Question 1

BP Threshold and Goals of Pharmacologic Therapy in patients with HTN according to clinical conditions.

These two following conditions are at what BP threshold?

• Secondary Stroke Prevention
• No Clinical CVD and 10-Year ASCVD Risk <10%

1) ≥130/80
2) ≥ 140/90

Answer 1

2) ≥ 140/90

Question 2

Can moderate alcohol consumption be OK to help in lowering BP?

Yes or No?

Answer 2

Yes.

Question 3

Never add more than one BP medication at a time.

True or False?

Answer 3

True

Question 4

You should make changes to BP medications in less than two weeks.

True or False?

Answer 4

False

Question 5

Don’t give patient an ACEi and an ARB, because the ARB makes the ACEi a sugar pill.

True or False?

Answer 5

True

Question 6

Diuretics and CCBs are indicated for black race.

True or False?

Answer 6

True

Question 7

Which med is indicated for atrial fibrillation?

1) ACEi
2) Diuretics
3) ARBs
4) CCBs
5) BBs

Answer 7

3) ARBs

Question 8

• Hypokalemia and other electrolyte imbalances
• Negative effect on glucose and lipids
• • Chlorthalidone
• • Hydrochlorothiazide
• • Indapamide
• • Metolazone

Which drug class?

1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics

Answer 8

3) Thiazide diuretics

Question 9

• Hypokalemia and other electrolyte balances
• • Bumetanide (Bumex)
• • Furosemide (Lasix)
• • Torsemide (Demadex)

Which drug class?

1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics

Answer 9

1) Loop diuretics

Question 10

• May enhance hyperkalemic effects of drug therapies (ACEi, aldosterone antagonists, etc)
• • Amiloride
• • Triamterene

Which drug class?

1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics

Answer 10

4) Potassium-sparing diuretics

Question 11

• Hyperkalemia (from Eplerenone)
• Gynecomastia (from spironolactone)

Which drug class?

1) Loop diuretics
2) Aldosterone antagonists
3) Thiazide diuretics
4) Potassium-sparing diuretics

Answer 11

2) Aldosterone antagonists

Question 12

Is lifestyle modification alone reasonable?

Yes or No?

Answer 12

Yes for normal BP, elevated BP, and S1HTN without ASCVD and a 10-year risk below 10%

Question 13

NSAIDs don’t make heart failure worse, and don’t lead to swelling.

True or False?

Answer 13

False.

Question 14

Beta Blockers will cause a temporary worsening of the heart failure symptoms.

True or false?

Answer 14

True

Question 15

Avoid which TWO CCBs in heart failure?

1. D________
2. V________

Answer 15

Diltiazem
Verapamil

Question 16

Beta blockers don’t have to be on board for every heart failure patient.

True or false?

Answer 16

False

Question 17

It’s OK to use pioglitazone (Actos), a TZD, in patients with heart failure.

True or False?

Answer 17

False

Question 18

Patients at high risk for heart failure but without structural heart disease or symptoms of heart failure.

NYHA Func. class / ACC/AHA Stage

1. N/A, A
2. I, B
3. II, C
4. III, C
5. IV, C & D

Answer 18

1. N/A, A

Question 19

Patients with cardiac disease but without limitations of physical activity. Ordinary physical activity does not cause undue fatigue, dyspnea, or palpitation.

NYHA Func. class / ACC/AHA Stage

1. N/A, A
2. I, B
3. II, C
4. III, C
5. IV, C & D

Answer 19

2. I, B

Question 20

Patients with cardiac disease that results in slight limitations of physical activity. Ordinary physical activity results in fatigue, palpitations, dyspnea, or angina.

NYHA Func. class / ACC/AHA Stage

1. N/A, A
2. I, B
3. II, C
4. III, C
5. IV, C & D

Answer 20

3. II, C

Question 21

Patients with cardiac disease that results in marked limitation of physical activity. Although patients are comfortable at rest, less than ordinary activity will lead to symptoms.

NYHA Func. class / ACC/AHA Stage

1. N/A, A
2. I, B
3. II, C
4. III, C
5. IV, C & D

Answer 21

4. III, C

Question 22

Patients with cardiac disease that results in an inability to carry on physical activity without discomfort. Symptoms of heart failure are present at rest. Stage D refers to end-stage heart failure patients.

NYHA Func. class / ACC/AHA Stage

1. N/A, A
2. I, B
3. II, C
4. III, C
5. IV, C & D

Answer 22

5. IV, C & D

Question 23

When you go from III to IV for NYHA Funct. Class, it means you are no longer comfortable at rest.

True or False?

Answer 23

True