iHuman hypertension case EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

iHUMAN CASE STUDY uy uy




Exam Solution uy




Unit 12: CV & Case Study 2026 A+ GRADE ASSURED COM
uy uy uy uy uy uy uy uy uy uy




PLETE SOLUTIONS AND VERIFIED ANSWERS (76CFB) uy uy uy uy uy




QUESTION 1 uy




Assessment and diagnostic data have confirmed a patient's diagnosis of Addison's disea
uy uy uy uy uy uy uy uy uy uy uy



se. A review of the patient's current medication history requires discontinuation of whic
uy uy uy uy uy uy uy uy uy uy uy uy



h hypertension-
uy



associated prescription? metoprolol tartrate hydrochlorothiazide captopril furosemide
uy uy uy uy uy uy




ANSWER

hydrochlorothiazide Rationale: Potassium- uy uy



sparing diuretics such as hydrochlorothiazide are contraindicated in patients with hyperkalemia, Addis
uy uy uy uy uy uy uy uy uy uy uy



on's disease, anuria, or patients taking eplerenone. None of the other options would be contraindicated
uy uy uy uy uy uy uy uy uy uy uy uy uy uy



based on the information presented.
uy uy uy uy uy




QUESTION 2 uy




A patient is suspected of experiencing "white coat hypertension" and is prescribed amb
uy uy uy uy uy uy uy uy uy uy uy uy



ulatory blood pressure monitoring (ABPM) reading. The patient should be instructed to
uy uy uy uy uy uy uy uy uy uy uy uy



follow what instruction(s) prior to the reading?
uy uy uy uy uy uy




ANSWER

Patients being prescribed ABPM should be instructed to avoid smoking cigarettes 30 minutes before th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy



e reading not exercise heavily immediately before the reading not drink caffeine during the hour prece
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



ding the reading avoid adrenergic stimulants, such as phenylephrine. The limiting of sodium for 24 hou
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



rs would have little to no effect on the reading.
uy uy uy uy uy uy uy uy uy




QUESTION 3 uy




The health care provider has prescribed chlorthalidone for initial treatment of hyperte
uy uy uy uy uy uy uy uy uy uy uy



nsion. What factor would be considered when determining the appropriateness of this p
uy uy uy uy uy uy uy uy uy uy uy uy



rescription? reports experiencing tinnitus creatinine clearance of 100 mL/min/1.73 m2
uy uy uy uy uy uy uy uy uy uy



history of gout family history of type 2 diabetes
uy uy uy uy uy uy uy uy




ANSWER

, creatinine clearance of 100 mL/min/1.73 m2 Rationale: Thiazide diuretics are not recommended in pat
uy uy uy uy uy uy uy uy uy uy uy uy uy



ients with a creatinine clearance (CrCl) of less than 30 mL/min/1.73 m2 because they are ineffective. T
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



he other factors represent potential side effects of this therapy, including tinnitus and the worsening of
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



acute gout. There is also a risk of the patient developing diabetes.
uy uy uy uy uy uy uy uy uy uy uy uy




QUESTION 4 uy




secondary risk factor for hyperlipidemia and, thus, require(s) treatment?
uy uy uy uy uy uy uy uy




ANSWER

Secondary factors may include medications (e.g., beta-
uy uy uy uy uy uy



blockers and oral contraceptives) concomitant disease states or other conditions (e.g., diabetes mellitus
uy uy uy uy uy uy uy uy uy uy uy uy



and pregnancy) diets high in fat and cholesterol, lack of exercise, obesity, and smoking. Some individu
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



als are genetically predisposed (primary risk factor) to elevated cholesterol levels. They may inherit de
uy uy uy uy uy uy uy uy uy uy uy uy uy uy



fective genes that lead to abnormalities in the synthesis or breakdown of cholesterol.
uy uy uy uy uy uy uy uy uy uy uy uy




QUESTION 5 uy




Which patient(s) has/have an elevated risk for the development of atherosclerotic cardi
uy uy uy uy uy uy uy uy uy uy uy



ovascular disease (ASCVD)? uy uy




ANSWER

Chronic kidney disease, inflammatory diseases, persistently elevated cholesterol, and preeclampsia are
uy uy uy uy uy uy uy uy uy uy uy



all risk factors for ASCVD, as is South Asian ancestry
uy uy uy uy uy uy uy uy uy




QUESTION 6 uy




A 35-year-
uy



old patient with a family history of atherosclerotic cardiovascular disease (ASCVD) has s
uy uy uy uy uy uy uy uy uy uy uy uy



hared a fear of "having a stroke like my dad did." What lifestyle modification is likely to
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy u



have the greatest decrease on the patient's risk of such an event? exercising 3 to 4 time
y uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



s per week smoking cessation reaching ideal weight adopting a low-fat diet
uy uy uy uy uy uy uy uy uy uy uy




ANSWER

smoking cessation Rationale: The risk of developing ASCVD and experiencing a stroke decreases by ap
uy uy uy uy uy uy uy uy uy uy uy uy uy uy



proximately 50% within 1 to 2 years of smoking cessation. While the other modifications are all appro
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy



priate, they focus on affecting hyperlipidemia and the resulting ASCVD that has already developed.
uy uy uy uy uy uy uy uy uy uy uy uy uy




QUESTION 7 uy




Which major plasma lipid is associated with the development of atherosclerosis? free fa
uy uy uy uy uy uy uy uy uy uy uy uy



tty acids triglycerides serum cholesterol phospholipids
uy uy uy uy uy




ANSWER

serum cholesterol uy