Pharm Review - Linger

Question 1

Low CO, sympathetic maintaining tissue perfusion, edema and ascites, failing heart
What should you NOT take?

Answer 1

Mannitol

Question 2

Stage 2 HTN
ACEI – but HTN not lowered
Compliant with drug therapy
Thiazide added
What is most likely and earliest untoward outcome of this drug add on?

Answer 2

Fall of BP sufficient to cause syncope

Question 3

How losartan differs from lisinopril or its related drugs

Answer 3

Lisinopril inhibits synthesis of Ang II, losartan does not

Question 4

DM II
Metformin and glyburide
Statin and verapamil
Against adding ACEI or ARB?

Answer 4

Bilateral artery stenosis

Question 5

Drug for BPH

Answer 5

Prazosin

Lower BP, Reflex tachy, Constrict pupil, Syncope – initially, No bronchi constriction

Question 6

ACEI for essential HTN – what contraindicates

Answer 6

Pregnancy

Question 7

Potassium sparing diuretic?

Answer 7

Amiloride

Question 8

Spironolactone

Answer 8

Treatment for adrenal cortical tumor

Question 9

Very low urine potassium

Taking loops

Answer 9

Unexpected side effect of drug

Loops create a lot of fluid output

Question 10

Inadequate BP control with lisinopril

Triamterene added - Most likely outcome

Answer 10

BP control with an increased risk of hyperkalemia

Question 11

Acute HF – septicemia
DM I
Sulfa allergy
Diuretic?

Answer 11

Ethacrynic acid

Question 12

Elevated glucose
HbA1c elevated
Oral diuretic - Most likely?

Answer 12

Chlorothiazide – giving him glucose intolerance

Question 13

Syncope

Hypovolemia

Answer 13

Loop - Furosemide

Question 14

Statin, aspirin, and metolazone

Most likely reason for metolazone

Answer 14

Essential HTN

Question 15

Cough

Answer 15

ACEI

Question 16

nonDHP CCB differs from DHP CCB how

Answer 16

Dose dependent slowing of AV nodal conduction