Aquifer FM Week 2
FM 8. Which elements of an initial focused history are most important to gather in a patient with
a possible new diagnosis of hypertension? Select all that apply.
A. Family history of cardiovascular disease
B. Family history of colon cancer
C. History of cancer
D. History of diabetes
E. History of glaucoma
F. History of high cholesterol
G. History or symptoms of cardiovascular disease
H. History or symptoms of congestive heart failure
I. Medications, including over-the-counter and complementary medications
J. Smoking, alcohol, and/or drug use
A. Family history of cardiovascular disease
D. History of diabetes
F. History of high cholesterol
G. History or symptoms of cardiovascular disease
H. History or symptoms of congestive heart failure
I. Medications, including over-the-counter and complementary medications
J. Smoking, alcohol, and/or drug use
FM 8. Which of the following accurately describes the best way to measure blood pressure?
Select all that apply.
A. An adult-sized cuff should be used for most adults.
B. The length of the bladder of the cuff must be at least 80% of the arm circumference.
C. The patient should be seated quietly for 30 minutes before a blood pressure measurement is
taken.
D. The patient should be seated on an examination table when a blood pressure is taken.
E. The patient's arm should be supported at heart level.
B. The length of the bladder of the cuff must be at least 80% of the arm circumference.
E. The patient's arm should be supported at heart level.
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FM 8. You respond that all patients with newly diagnosed hypertension (or elevated blood
pressure) should be counseled about behavioral approaches that they can take to manage their
blood pressure. Specifically, the ACC/AHA guidelines recommend weight loss for those who are
overweight or obese, a heart healthy diet like the DASH eating plan, sodium restriction,
potassium supplementation through dietary measures, increased physical activity, and a limited
alcohol intake. Would you recommend a medication? Select all that apply.
A. Initiate a beta-blocker
B. Initiate a calcium-channel blocker
C. Initiate a thiazide diuretic
D. Initiate an ACE-Inhibitor
E. No antihypertensive medication indicated at this time
B. Initiate a calcium-channel blocker
C. Initiate a thiazide diuretic
D. Initiate an ACE-Inhibitor
FM 8. If we are to follow the 2017 ACC/AHA hypertension guidelines, what is the goal blood
pressure we want to achieve with this patient? Choose the single best answer.
A. <130/80 mmHg
B. <140/80 mmHg
C. <150/90 mmHg
A. <130/80 mmHg
FM 8. Which of the following statements are true about thiazide diuretics? Select all that apply.
A. A 50 mg dose of hydrochlorothiazide reduces blood pressure and decreases morbidity and
mortality more than a 25 mg dose of hydrochlorothiazide.
B. Thiazide diuretics may cause older adult patients to become incontinent of urine.
C. Thiazide diuretics should be started at 25 mg in older adult patients.
D. Thiazide diuretics should be used with caution in patients with a history of gout.
E. Thiazides may affect electrolyte levels.
F. Thiazides may be taken in the evening.
FM 8. Which elements of an initial focused history are most important to gather in a patient with
a possible new diagnosis of hypertension? Select all that apply.
A. Family history of cardiovascular disease
B. Family history of colon cancer
C. History of cancer
D. History of diabetes
E. History of glaucoma
F. History of high cholesterol
G. History or symptoms of cardiovascular disease
H. History or symptoms of congestive heart failure
I. Medications, including over-the-counter and complementary medications
J. Smoking, alcohol, and/or drug use
A. Family history of cardiovascular disease
D. History of diabetes
F. History of high cholesterol
G. History or symptoms of cardiovascular disease
H. History or symptoms of congestive heart failure
I. Medications, including over-the-counter and complementary medications
J. Smoking, alcohol, and/or drug use
FM 8. Which of the following accurately describes the best way to measure blood pressure?
Select all that apply.
A. An adult-sized cuff should be used for most adults.
B. The length of the bladder of the cuff must be at least 80% of the arm circumference.
C. The patient should be seated quietly for 30 minutes before a blood pressure measurement is
taken.
D. The patient should be seated on an examination table when a blood pressure is taken.
E. The patient's arm should be supported at heart level.
B. The length of the bladder of the cuff must be at least 80% of the arm circumference.
E. The patient's arm should be supported at heart level.
Previous
Play
Next
, Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
FM 8. You respond that all patients with newly diagnosed hypertension (or elevated blood
pressure) should be counseled about behavioral approaches that they can take to manage their
blood pressure. Specifically, the ACC/AHA guidelines recommend weight loss for those who are
overweight or obese, a heart healthy diet like the DASH eating plan, sodium restriction,
potassium supplementation through dietary measures, increased physical activity, and a limited
alcohol intake. Would you recommend a medication? Select all that apply.
A. Initiate a beta-blocker
B. Initiate a calcium-channel blocker
C. Initiate a thiazide diuretic
D. Initiate an ACE-Inhibitor
E. No antihypertensive medication indicated at this time
B. Initiate a calcium-channel blocker
C. Initiate a thiazide diuretic
D. Initiate an ACE-Inhibitor
FM 8. If we are to follow the 2017 ACC/AHA hypertension guidelines, what is the goal blood
pressure we want to achieve with this patient? Choose the single best answer.
A. <130/80 mmHg
B. <140/80 mmHg
C. <150/90 mmHg
A. <130/80 mmHg
FM 8. Which of the following statements are true about thiazide diuretics? Select all that apply.
A. A 50 mg dose of hydrochlorothiazide reduces blood pressure and decreases morbidity and
mortality more than a 25 mg dose of hydrochlorothiazide.
B. Thiazide diuretics may cause older adult patients to become incontinent of urine.
C. Thiazide diuretics should be started at 25 mg in older adult patients.
D. Thiazide diuretics should be used with caution in patients with a history of gout.
E. Thiazides may affect electrolyte levels.
F. Thiazides may be taken in the evening.
