N5334 Advanced Pharmacology Test 2 With Verified
Answers
You examine a 38-year-old woman who has presented
for an initial examination and Papanicolaou test. She has
no complaint. Her blood pressure (BP) is 154/98 mm Hg
bilaterally and her body mass index (BMI) is 31 kg/m2.
The rest of her physical examination is unremarkable.
Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP measurements
during the next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium
ion measurements and urinalysis.
D. advise her to reduce her sodium intake. - answerB
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
,and the rest of her history and examination are unremarkable.
Documentation from her former healthcare
,provider indicates that her BP has been in the range for
the past 12 months. Your next best action is to:
A. prescribe an angiotensin-converting enzyme inhibitor
(ACEI).
B. have her return for a BP check in 1 week.
C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist. - answerA
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. - answerC
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
B. uric acid.
C. creatinine.
, D. potassium. - answerB
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes
of brisk walking most days of the week.
D. consuming at least 1-2 servings of alcohol. - answerD
Match the antihypertension medication with its
appropriate class.
6. amlodipine
7. diltiazem
8. trandolapril
9. telmisartan
10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
Answers
You examine a 38-year-old woman who has presented
for an initial examination and Papanicolaou test. She has
no complaint. Her blood pressure (BP) is 154/98 mm Hg
bilaterally and her body mass index (BMI) is 31 kg/m2.
The rest of her physical examination is unremarkable.
Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP measurements
during the next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium
ion measurements and urinalysis.
D. advise her to reduce her sodium intake. - answerB
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
,and the rest of her history and examination are unremarkable.
Documentation from her former healthcare
,provider indicates that her BP has been in the range for
the past 12 months. Your next best action is to:
A. prescribe an angiotensin-converting enzyme inhibitor
(ACEI).
B. have her return for a BP check in 1 week.
C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist. - answerA
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. - answerC
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
B. uric acid.
C. creatinine.
, D. potassium. - answerB
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes
of brisk walking most days of the week.
D. consuming at least 1-2 servings of alcohol. - answerD
Match the antihypertension medication with its
appropriate class.
6. amlodipine
7. diltiazem
8. trandolapril
9. telmisartan
10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
