Advanced Pharmacology Final Exam Study Guide Rated A+

Advanced Pharmacology Final Exam Study Guide Rated A+ HTN is defined as: SBP > 140 or DBP > 90 Diagnosis of HTN should be based on: several BP readings over 1-2 weeks, not just 1 BP reading HTN treatment goal is: to reduce cardiovascular and renal morbidity and mortality The most common form of HTN is: primary or essential HTN The target SBP for patients ages 65-79 is: < 140 The target SBP for patents 80 years and older is: < 145 The normal BP category as defined by JNC 7 is: SBP < 120 AND DBP < 80 The prehypertension BP category as defined by JNC 7 is: SBP 120-139 OR DBP 80-89 The hypertension BP category as defined by JNC 7 is: SBP > 140 OR DBP > 90 Stage 2 hypertension is defined by JNC 7 is: SBP AND DBP in different categories (ex. 160/92) A 30-year-old man in for annual examination. On last exam one year ago, BP was 120/70. Patient has no complaints. On examination, vital signs: BP 158/90, P 88, R 20, T 98.6, BMI 34 kg. Rest of examination showed normal results. What would your next step be? A. start antihypertensive therapy with one agent B. start antihypertensive therapy with two agents C. check BP two more times in the next 2 weeks D. send patient to ER C. check BP two more times in the next 2 weeks Your last patient of the day is a 72-year-old woman with several chronic medical problems including: Hypertension, hyperlipidemia, osteoarthritis, anemia, and diabetes mellitus type 2. Current medications consist of HCTZ, atorvastatin, acetaminophen, ferrous sulfate, and metformin. Patient brings in her BP log which shows BP readings between 152/92 to 160/96 over the past three months. Potassium is 4.9 (normal 3.5-5.5). Your next best action is to: A. add another diuretic like aldosterone B. prescribe an ACEI C. continue current medications. No need to add another medication as patient may forget to take it D. schedule a six-month follow-up visit B. prescribe an ACEI A 64-year-old man with HTN is taking AEI and aldosterone. He needs to be monitored for an increase in what electrolyte? A. potassium B. sodium C. glucose D. calcium A. potassium Your next patient is new to your practice. Her name is Ms. Smith. Ms. Smith is a 79-year-old woman who tells you her last examination was over two years ago. She gives history of hypertension since the age of 35 with BP readings greater than 160/100. Patient is currently not taking any medications. Patient is at risk for: A. cardiovascular disease (CVA) B. left ventricular hypertrophy C. renal disease D. all of the above D. all of the above Ms. Smith has left ventricular dysfunction, which of the following medicine is contraindicated? A. Zestril/lisinopril (ACEI) B. Cozaar/losartan (ARB)