Quick Quiz 5 Flashcards
Sally Jo, age 62, is started on an ACEI for hypertension. She does not have diabetes, and her kidney funcgtion is reported as normal. Which of the following is/are correct goals for the treatment of her blood pressure?
a. systolic blood pressure less than 150 mm Hg
b. diastolic blood pressure less than 80 mm Hg
c. diastolic blood pressure less than 90 mm Hg
d. A and C are both correct.
d. A and C are both correct
Buck is a 67 year old rancher who has previously had one myocardial infarction and has an LDL level of 210 mg/dL. Which of the following is appropriate initial therapy for his dyslipidemia?
a. rosuvastatin (Crestor) 40 mg daily
b. atorvastatin (Lipitor) 80 mg daily
c. A or B is correct
d. simvastatin, 20 mg daily
c. A or B is correct
According to the 2013 revised guidelines for the treatment of hyperlipidemia, the use of a high dose of one of the “high potency” statins (rosuvastatin or atorvastatin) is optima therapy. Simvastatin is a low potency statin.
Control of hypertension results in significant reductions in the risk of
a. stroke.
b. myocardial infarction.
c. rupture of abdominal aortic aneurysm.
d. all of the above.
d. all of the above
Juan, age 58, has successfully recovered from an acute coronary syndrome. He isn’t hypertensive. To reduce the risk of subsequent ischemic injury and a rise in the risk of heart failure, which agent do you expect he will be discharged on, assuming his total cholesterol is normal and his CV risk as calculated is 7.7?
a. captopril (Capoten)
b. enalapril (Vasotec)
c. diltiazem (Cardizem)
d. metoprolol (Labetalol)
d. metoprolol (Labetalol)
Beta blockers are indicated after uncomplicated acute coronary syndromes/myocardial infarctions.
John is a 55 year old African American who has a blood pressure of 160/88. Which class(es) of medications are acceptable as initial therapy?
a. ACEI
b. ARB
c. CCB
d. B and C are acceptable choices.
c. CCB
From the handout on the 2014 hypertension guidelines (also called JNC 8), 7. In the general black population, including those with diabetes, initial antihypertensive tratment should include a thiazide type diuretic or CCB.”
Diane started a new medication for her significant hypertension. Four weeks later, she developed a dry, “hacky” cough. You understand that the cough is probably related to which class of antihypertensive medications from which she has started one?
a. thiazides
b. calcium channel blockers
c. alpha 1 receptor blockers
d. ACEIs
d. ACEIs
Which of the following drugs is/are prodrugs?
a. clopidogrel (Plavix)
b. enalapril (Vasotec)
c. metoprolol (Labetolol)
d. A and B.
d. A and B
The development of a dry hacky cough is not uncommon among patients taking an ACEI. The other drug classes don’t typically do this.
