EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
NURP-533-Week 1 Exam Study Guide
with Complete Solutions
Primary HTN - Answer✔✔-Increase in cardiac output and peripheral vascular resistance
Not due to an underlying disease; due to risk factors
Secondary HTN - Answer✔✔-Due to and underlying disease: OSA,aldosteronism, renal disease, excess
catecholamines, coarction of the heart, Cushings' syndrome, drug side effects, diet side effects,
hypothyroidism, hyperthyroidism
Renin-angiotensin-aldosterone system - Answer✔✔-Overactive RAAS leads to retention of sodium and
water which then leads to increased vascular resistance
This can ultimately lead to arterial remodeling
* Stages of HTN * - Answer✔✔-Normal BP: SBP < 120 and a DBP < 80
Stage 1: SBP 130-139 or DBP of 80-89
Stage 2: SBP > 140 or DBP > 90
Page 1/16
,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
HTN Diagnosis - Answer✔✔-Two elevated BP levels on two separate occasions (usually 2 weeks apart)
If BP readings are contradictory, a 24-hour ambulatory BP test may be done
Initial work-up includes: H&P, CBC, UA, glucose, BUN, Cr, electrolytes, ECG, lipids, TSH, (CMP)
Obesity Screening in Adolescents - Answer✔✔-The USPSTF recommends that clinicians screen for
obesity in children and adolescents 6 years and older and offer or refer them to comprehensive,
intensive behavioral interventions to promote improvements in weight status.
Obesity Definition - Answer✔✔-BMI greater than or equal to 30
Weight Gaining Medications - Answer✔✔-Diabetes Rx: glipizide, insulin
Antidepressants, Neuroleptics, and Seizure Rx: TCAs, amitriptyline, MAOIs, SSRI's, Mirtazapine, Lithium,
clozapine, olanzapine, risperidone, quetiapine, valproic acid, carbamazepine, lyrica, gabapentin
Antihistamines: cyproheptadine
Hormonal Rx
Page 2/16
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
Cardiac Rx: beta blockers
* Topamax may make you lose weight *
Drug Therapy Initiation for Obesity - Answer✔✔-Add on lifestyle management for those with a BMI
equal to or greater than 30 OR those with a BMI equal to or greater than 27 with co-morbid condition
such as DM, high cholesterol, or HTN
Dyslypidemia - Answer✔✔-Abnormal levels of serum lipoproteins
Hypercholestremia - Answer✔✔-Elevated levels of LDL
Hypertriglyceridemia - Answer✔✔-Elevated levels of VLDL
Atherosclerosis - Answer✔✔-ASCVD risk assessment should be completed before starting
pharmacological risk factors
Exercise: 150 minutes/week of moderate intensity exercise or 75 minutes/week of vigorous exericse
First line therapy for patients with T2DM is metformin
Aspirin therapy should be used sparingly
Page 3/16
FIRST PUBLISH SEPTEMBER 2024
NURP-533-Week 1 Exam Study Guide
with Complete Solutions
Primary HTN - Answer✔✔-Increase in cardiac output and peripheral vascular resistance
Not due to an underlying disease; due to risk factors
Secondary HTN - Answer✔✔-Due to and underlying disease: OSA,aldosteronism, renal disease, excess
catecholamines, coarction of the heart, Cushings' syndrome, drug side effects, diet side effects,
hypothyroidism, hyperthyroidism
Renin-angiotensin-aldosterone system - Answer✔✔-Overactive RAAS leads to retention of sodium and
water which then leads to increased vascular resistance
This can ultimately lead to arterial remodeling
* Stages of HTN * - Answer✔✔-Normal BP: SBP < 120 and a DBP < 80
Stage 1: SBP 130-139 or DBP of 80-89
Stage 2: SBP > 140 or DBP > 90
Page 1/16
,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
HTN Diagnosis - Answer✔✔-Two elevated BP levels on two separate occasions (usually 2 weeks apart)
If BP readings are contradictory, a 24-hour ambulatory BP test may be done
Initial work-up includes: H&P, CBC, UA, glucose, BUN, Cr, electrolytes, ECG, lipids, TSH, (CMP)
Obesity Screening in Adolescents - Answer✔✔-The USPSTF recommends that clinicians screen for
obesity in children and adolescents 6 years and older and offer or refer them to comprehensive,
intensive behavioral interventions to promote improvements in weight status.
Obesity Definition - Answer✔✔-BMI greater than or equal to 30
Weight Gaining Medications - Answer✔✔-Diabetes Rx: glipizide, insulin
Antidepressants, Neuroleptics, and Seizure Rx: TCAs, amitriptyline, MAOIs, SSRI's, Mirtazapine, Lithium,
clozapine, olanzapine, risperidone, quetiapine, valproic acid, carbamazepine, lyrica, gabapentin
Antihistamines: cyproheptadine
Hormonal Rx
Page 2/16
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
Cardiac Rx: beta blockers
* Topamax may make you lose weight *
Drug Therapy Initiation for Obesity - Answer✔✔-Add on lifestyle management for those with a BMI
equal to or greater than 30 OR those with a BMI equal to or greater than 27 with co-morbid condition
such as DM, high cholesterol, or HTN
Dyslypidemia - Answer✔✔-Abnormal levels of serum lipoproteins
Hypercholestremia - Answer✔✔-Elevated levels of LDL
Hypertriglyceridemia - Answer✔✔-Elevated levels of VLDL
Atherosclerosis - Answer✔✔-ASCVD risk assessment should be completed before starting
pharmacological risk factors
Exercise: 150 minutes/week of moderate intensity exercise or 75 minutes/week of vigorous exericse
First line therapy for patients with T2DM is metformin
Aspirin therapy should be used sparingly
Page 3/16
