Advanced Clinical Pharmacology
Comprehensive Midterm Exam
Questions & Answers {Grade A} 100%
Correct - Regis
The pathological change that takes place in HF that is not addressed by ACE inhibitors
- correct answer Activation of the sympathetic nervous system that increases heart
rate and preload
Reason why nitro glycerin tablets "do not work well" in patient with hyperlipidemia and
angina age - correct answer blunted coronary artery dilation due to calcified plaque
Clinical judgement in prescribing includes - correct answer factoring in the cost to the
patient of the medication prescribed
Prior to prescribing an ACE inhibitor the NP should access for - correct answer
decreased renal function
, First-line pharmacologic therapy for hyperlipidemia - correct answer statins
When is consultation with or referral to a cardiologist appropriate? - correct answer
Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of
daily living
If not chosen as the first drug in hypertension treatment, which drug class should be
added as a second step because it will enhance the effects of most other agents? -
correct answer Diuretics
A 65-year-old patient who has been on a lipid-lowering diet and is using plant sterol
margarine daily for the past three months. Her LDL is 135mg/dL. What would an
appropriate treatment for them be? - correct answer Determine their other risk
factors
Calcium Channel Blocker's helps control blood pressure because it - correct answer
promote smooth muscle dilation by stopping intracellular entry of calcium into the cell,