Regis NU641 Adv Clinical
Pharmacology Midterm Exam 2023/
40 Questions with Correct Answers/
100% Correct.
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?
Pharmacology Midterm Exam 2023/
40 Questions with Correct Answers/
100% Correct.
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?
