Exam 2: NU 641 / NU641 (Latest Update
) Advanced Clinical
Pharmacology | Comprehensive Study
Guide Questions & Answers | Grade A |
100% Correct - Regis
Angina, Coronary Artery Disease, & Migraines - answer-Patients that are at highest risk for
abruptly stopping a beta blocker are those with
Angiotensin-converting enzyme (ACE) inhibitors - answer-The medication that helps the
imbalance between myocardial oxygen supply and myocardial oxygen demand in the
myocardium by increasing the myocardial oxygen supply
improves insulin sensitivity
improves renal hemodynamics
reduce production of angiotensin II - answer-Roles of Angiotensin-converting enzyme (ACE)
inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and preload - answer-
The pathological change that takes place in HF that is not addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque - answer-Reason why nitro glycerin
tablets "do not work well" in patient with hyperlipidemia and angina age
factoring in the cost to the patient of the medication prescribed - answer-Clinical judgement in
1
, prescribing includes
decreased renal function - answer-Prior to prescribing an ACE inhibitor the NP should access for
statins - answer-First-line pharmacologic therapy for hyperlipidemia
Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily
living - answer-When is consultation with or referral to a cardiologist appropriate?
Diuretics - answer-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?
Determine their other risk factors - answer-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?
promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, which
increases contractility, which increase the activity of the NA+/K+/ATPase pump indirectly -
answer-Calcium Channel Blocker's helps control blood pressure because it
discussion of expected adverse drug reactions - answer-Patient education regarding prescribed
medications includes
Do not take any herbal products without first discussing this with the provider - answer-Patient
education when prescribing clopidogrel includes which of the following statements?
If they stop the medication, their lipid levels will return to pretreatment levels; medication is a
supplement to diet therapy and exercise; and if they have muscle aches or pain, they should
2
) Advanced Clinical
Pharmacology | Comprehensive Study
Guide Questions & Answers | Grade A |
100% Correct - Regis
Angina, Coronary Artery Disease, & Migraines - answer-Patients that are at highest risk for
abruptly stopping a beta blocker are those with
Angiotensin-converting enzyme (ACE) inhibitors - answer-The medication that helps the
imbalance between myocardial oxygen supply and myocardial oxygen demand in the
myocardium by increasing the myocardial oxygen supply
improves insulin sensitivity
improves renal hemodynamics
reduce production of angiotensin II - answer-Roles of Angiotensin-converting enzyme (ACE)
inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and preload - answer-
The pathological change that takes place in HF that is not addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque - answer-Reason why nitro glycerin
tablets "do not work well" in patient with hyperlipidemia and angina age
factoring in the cost to the patient of the medication prescribed - answer-Clinical judgement in
1
, prescribing includes
decreased renal function - answer-Prior to prescribing an ACE inhibitor the NP should access for
statins - answer-First-line pharmacologic therapy for hyperlipidemia
Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily
living - answer-When is consultation with or referral to a cardiologist appropriate?
Diuretics - answer-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?
Determine their other risk factors - answer-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?
promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, which
increases contractility, which increase the activity of the NA+/K+/ATPase pump indirectly -
answer-Calcium Channel Blocker's helps control blood pressure because it
discussion of expected adverse drug reactions - answer-Patient education regarding prescribed
medications includes
Do not take any herbal products without first discussing this with the provider - answer-Patient
education when prescribing clopidogrel includes which of the following statements?
If they stop the medication, their lipid levels will return to pretreatment levels; medication is a
supplement to diet therapy and exercise; and if they have muscle aches or pain, they should
2
