MIDTERM EXAM QUESTIONS WITH CORRECT
ANSWERS
Angina, Coronary Artery Disease, & Migraines
Patients that are at highest risk for abruptly stopping a beta blocker are those with
Angiotensin-converting enzyme (ACE) inhibitors
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
Roles of Angiotensin-converting enzyme (ACE) inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and
preload
The pathological change that takes place in HF that is not addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque
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
Clinical judgement in prescribing includes
decreased renal function
Prior to prescribing an ACE inhibitor the NP should access for
statins
First-line pharmacologic therapy for hyperlipidemia
Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks
of daily living
When is consultation with or referral to a cardiologist appropriate?
Diuretics
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
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
Calcium Channel Blocker's helps control blood pressure because it
discussion of expected adverse drug reactions
Patient education regarding prescribed medications includes
Do not take any herbal products without first discussing this with the provider
Patient education when prescribing clopidogrel includes which of the following
statements?