QUIZ QUESTIONS AND ANSWERS
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Artmismamfifty-five-year-
oldmsmokermwhomhasmbeenmdiagnosedmwithmanginamandmplacedmonmnitrates.mHemcomplainsmofmhe
adachesmaftermusingmhismnitrate.mAnmappropriatemreplymmightmbe:
A.m"Thismismamparasympatheticmresponsemtomthemvasodilatingmeffectsmofmthemdrug."
B.m"Headachesmaremcommonmsidemeffectsmwithmthesemdrugs.mHowmseveremaremthey?"
C.m"Thismismassociatedmwithmyourmsmoking.mLet'smworkmonmhavingmyoumstopmsmoking."
D.m"Thismismnotmrelatedmtomyourmmedication.mAremyoumundermamlotmofmstress?"m-
mCORRECTmANSWERSmB.m"Headachesmaremcommonmsidemeffectsmwithmthesemdrugs.mHowmseverema
remthey?"
Inmteachingmaboutmthemusemofmsublingualmnitroglycerine,mthempatientmshouldmbeminstructed:
A.mTomswallowmthemtabletmwithmamfullmglassmofmwater
B.mTomplacemonemtabletmundermthemtonguemifmchestmpainmoccursmandmallowmitmtomdissolve
C.mTomtakemonemtabletmeverymfivemminutesmuntilmthemchestmpainmgoesmaway
D.mThatmitmshouldm"burn"mwhenmplacedmundermthemtonguemormitmismnomlongermeffectivem-
mCORRECTmANSWERSmB.mTomplacemonemtabletmundermthemtonguemifmchestmpainmoccursmandmallowmi
tmtomdissolve
Ampotentiallymlife-
threateningmadversemresponsemtomACEminhibitorsmismangioedema.mWhichmofmthemfollowingmstate
mentsmismtruemaboutmthismadversemresponse?
, A.mSwellingmofmthemtonguemandmhoarsenessmaremthemmostmcommonmsymptoms.
B.mItmappearsmtombemrelatedmtomamdecreaseminmaldosteronemproduction.
C.mThempresencemofmamdry,mhackymcoughmindicatesmamhighmriskmformthismadversemresponse.
D.mBecausemitmtakesmtimemtombuildmupmambloodmlevel,mitmoccursmaftermbeingmonmthemdrugmformabou
tmonemweek.m-
mCORRECTmANSWERSmA.mSwellingmofmthemtonguemandmhoarsenessmaremthemmostmcommonmsympt
oms.
Patientsmwhomarembeingmtreatedmformfolatemdeficiencymrequiremmonitoringmof:
A.mCompletembloodmcountmeverymfourmweeks
B.mHematocritmandmhemoglobinmatmonemweekmandmthenmatmeightmweeks
C.mReticulocytemcountmatmonemweek
D.mFolatemlevelsmeverymfourmweeksmuntilmthemhemoglobinmstabilizesm-
mCORRECTmANSWERSmB.mHematocritmandmhemoglobinmatmonemweekmandmthenmatmeightmweeks
Treatmentsmformheartmfailure,mincludingmdrugmtherapy,marembasedmonmthemstagesmdevelopedmbymt
hemAmericanmHeartmAssociationmandmthemAmericanmCollegemofmCardiology.mStagemAmpatientsmare:
A.mTreatedmwithmdrugsmformhypertensionmandmhyperlipidemia,mifmtheymexist
B.mTaughtmlifestylemmanagement,mincludingmdiet,mexercise,mandmsmokingmcessationmonly
C.mTreatedmwithmACEminhibitorsmtomdirectlymaffectmthemheartmfailuremonly
D.mNotmgivenmanymdrugsminmthismearlymstagem-
mCORRECTmANSWERSmA.mTreatedmwithmdrugsmformhypertensionmandmhyperlipidemia,mifmtheymexist
Furosemidemismaddedmtomamtreatmentmregimenmformheartmfailure,mwhichmincludesmdigoxin.mMonit
oringmformthismcombinationmincludes: