JSMBS CPM: Chronic Conditions
You are seeing a patient for follow up of hypertension. They are on 3 anti-hypertension
mediciations, all at maximum dose (losartan 100 mg daily, amlodipine 10 mg daily,
hydrocholorthiazide 50 mg daily). Their blood pressure is still uncontrolled (170/100). Of
the follow choices, which is the first thing you should do?
-Refer to a cardiologist
-Consider using the prescribed medications at doses above the FDA recommended
doses
- Add a 4th agent
- Verify that the patient is taking the medications as prescribed and, if not, see if their
are any barriers like cost, side effects, or misunderstanding about how the medications
are to be taken. - ANS-Verify that the patient is taking the medications as prescribed
and, if not, see if their are any barriers like cost, side effects, or misunderstanding about
how the medications are to be taken.
As part of your annual health maintenence viist, you ask patients about diet and
exercise, and make recommendations to them in order to reduce the risk of developing
heart disease. This is considered which level of prevention?
-Primary prevention
-Secondary prevention
-Tertiary prevention
-Palliative care - ANS-Primary prevention
Which prinicple is most consistent with the Patient-Centered Interview?
- Patient's role is passive
-Physician dominates the conversation, does not offer options
- Care is quality of life centered (focuses on family and other activities)
You are seeing a patient for follow up of hypertension. They are on 3 anti-hypertension
mediciations, all at maximum dose (losartan 100 mg daily, amlodipine 10 mg daily,
hydrocholorthiazide 50 mg daily). Their blood pressure is still uncontrolled (170/100). Of
the follow choices, which is the first thing you should do?
-Refer to a cardiologist
-Consider using the prescribed medications at doses above the FDA recommended
doses
- Add a 4th agent
- Verify that the patient is taking the medications as prescribed and, if not, see if their
are any barriers like cost, side effects, or misunderstanding about how the medications
are to be taken. - ANS-Verify that the patient is taking the medications as prescribed
and, if not, see if their are any barriers like cost, side effects, or misunderstanding about
how the medications are to be taken.
As part of your annual health maintenence viist, you ask patients about diet and
exercise, and make recommendations to them in order to reduce the risk of developing
heart disease. This is considered which level of prevention?
-Primary prevention
-Secondary prevention
-Tertiary prevention
-Palliative care - ANS-Primary prevention
Which prinicple is most consistent with the Patient-Centered Interview?
- Patient's role is passive
-Physician dominates the conversation, does not offer options
- Care is quality of life centered (focuses on family and other activities)
