S2_L5: Anti-Hypertensives Flashcards
TRUE OR FALSE: The liver produces renin that concerts angiotensin 1 to angiotensin 2. The adrenal cortex produces the angiotensin precursor.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is correct
D. Only the 2nd statement is correct
B. Both statements are false
Liver produces Angiotensinogen while renin is produced by the kidney to convert the inactive enzyme into angiotensin I.
TRUE OR FALSE: In the kidneys, angiotensin II increases Na+/H+ exchange activity via vasodilation. In the posterior pituitary, it releases ADH, therefore conserving water.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is correct
D. Only the 2nd statement is correct
D. Only the 2nd statement is correct
Angiotensin II constricts the glomerular efferent
arterioles.
TRUE OR FALSE: Angiotensin Converting Enzyme (ACE) are produced by the lung and kidney. It converts Angiotensin I to Angiotensin II
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is correct
D. Only the 2nd statement is correct
A. Both statements are true
TRUE OR FALSE: Hypertensive patients on medical management do not require close monitoring during physical therapy sessions.
False
TRUE OR FALSE: Patients managed with diuretics may manifest with weakness and frequency of urination which can affect physical therapy.
True
TRUE OR FALSE: Transdermal nitroglycerine is used for the acute management of myocardial infarction.
False
TRUE OR FALSE: Short term control of blood pressure involves baroreceptor reflexes coming from the arch of the aorta and the carotid bodies.
True
TRUE OR FALSE: Beta blockers may limit the increase in heart rate during endurance exercise.
True
TRUE OR FALSE: Angiotensin II is a potent arteriolar vasoconstrictor necessary during hypotensive episodes.
True
TRUE OR FALSE: Non-selective beta blockers inhibit beta receptors in both the heart and lungs.
True
TRUE OR FALSE: Calcium channel blockers act by causing peripheral vasodilation thereby decreasing intravascular pressure which can lead to reflex tachycardia.
True
TRUE OR FALSE: During long term control of blood pressure, the hypothalamus releases aldosterone which conserves sodium and water.
False
It is the adrenal cortex that releases aldosterone
TRUE OR FALSE: Alpha one blockers decrease the systemic vascular resistance by smooth muscle relaxation leading to vasoconstriction.
False
TRUE OR FALSE: Beta blockers may not be the best choice for a hypertensive patient with asthma.
True
- stimulates heart activity
- acts as a bronchodilator
- acts on the lungs
- acts on the heart
- increases HR & BP
A. Beta-1
B. Beta-2
- A
- B
- B
- A
- A
Determine the effects of the following receptors when blocked.
- hypotension
- bradycardia
- bronchoconstriction
- asthmatic attack
A. Beta-1
B. Beta-2
- A
- A
- B
- B
Choose as many letters indicated for the following.
- Non-invasive
- Invasive
- Least Reliable
- Gives the beat to beat variability
- Standard monitoring of BP
A. aneroid/ analog sphygmomanometer
B. digital sphygmomanometer
C. arterial line
- A & B
- C
- B
- C
- A
Choose as many letters indicated for the following.
- Operator dependent
- May be used independently
- Used for critically ill patient
- Used in operation rooms
- Has instances of malfunction
A. aneroid/ analog sphygmomanometer
B. digital sphygmomanometer
C. arterial line
- A
- B
- C
- C
- B
TRUE OR FALSE: Everytime the heart beats, a different blood pressure is generated.
True
TRUE OR FALSE: Orthostatic Hypotension is an adverse effect of diuretics. Hypertension is an adverse effect of diuretics.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is correct
D. Only the 2nd statement is correct
C. Only the 1st statement is correct
TRUE OR FALSE: Any changes in pressure detected by the chemoreceptors & baroreceptors will be sent to the cardioregulatory center & chemoreceptors in hypothalamus. This will send sympathetic / parasympathetic impulses to heart & blood vessels
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is correct
D. Only the 2nd statement is correct
B. Both statements are false
The acting structure is the medulla oblongata, which is the seat for RR, HR, & BP. This will be the one to send sympathetic and
parasympathetic impulses.
TRUE OR FALSE: An increase in sodium will increase intravascular fluid. Low volume of blood will make your BP higher
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is correct
D. Only the 2nd statement is correct
C. Only the 1st statement is correct
What is the effect of angiotensin II to the smooth muscles?
causes hypertension due to direct vasoconstriction
What is the effect of angiotensin II to the hypothalamus?
activates thirst mechanism, resulting to ↑ intravascular fluids & volume →↑ BP
What is the effect of angiotensin II to the adrenal cortex?
stimulates the secretion of Aldosterone, which is able to conserve Na and vasoconstrict
The following are adverse effects seen on intake of diuretics, EXCEPT:
A. Fatigue
B. Dizziness
C. Weakness
D. Electrolyte Imbalance
E. Fluid depletion
B. Dizziness
Choose the following letters that corresponds to the adverse effects seen on intake of vasodilators:
A. Bradycardia
B. Reflex tachycardia
C. Hypertension
D. Orthostatic hypotension
E. Dizziness
B, D, E
The following letters that corresponds to the adverse effects seen on vasodilators, EXCEPT:
A. Weakness
B. Nausea
C. Fluid retention
D. Hair growth
E. None
E. None
The following letters corresponds to the adverse effects seen on converting enzyme inhibitors, EXCEPT:
A. Allergic reactions
B. GI discomfort
C. Dizziness
D. Orthostatic Hypotension
E. Chest pains
D. Orthostatic Hypotension
TRUE OR FALSE: The anti-hypertensive property of diuretics come from their ability to excrete electrolytes and water.
True
TRUE OR FALSE: Angiotensin converting enzyme inhibitors promote a decrease in blood pressure by decreasing the levels of angiotensin II and angiotensin.
False