NGR 6172 QUIZ 4 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NGR 6172 QUIZ 4 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
What Medications can cause severe renal insufficiency in patients with Bilateral Renal
Artery Stenosis or Stenosis in the artery to a single remaining kidney?
Answer:
ACEIs ARBs

Question:
What can ACE Inhibitors cause in Patients with Diabetic Nephropathy?
Answer:
Slowed renal disease progression in pts w/ overt Nephropathy (>500mg
proteinuria/day) Delayed onset of overt nephropathy in less advanced Nephropathy
(30-300mg proteinuria/day) **Not a primary intervention for diabetic nephropathy, but
it can help**

Question:
What is the first-line intervention for an adult patient with HTN? MUST KNOW THIS
Answer:
Lifestyle Modifications

Question:
What is the BP goal for a hypertensive black patient < 60 YO without DM or CKD? What
is the 1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
SBP < 140 DIA < 90 Initiate Thiazide or CCB alone, or in combination

Question:
What is the BP goal for a hypertensive nonblack patient < 60 YO without DM or CKD?
What is the 1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
SBP < 140. DIA <90 Initiate Thiazide, ACE-Inhibitor, ARB, or CCB alone or in combination

Question:
What is the BP goal for a hypertensive nonblack patient e 60 YO without DM or CKD?
What is the 1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
SBP < 150 DIA < 90 Initiate Thiazide, ACE-Inhibitor, ARB, or CCB alone or in combination

Question:
What is the BP goal for a hypertensive black patient e 60 YO without DM or CKD? What
is the 1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
SBP < 150 DIA < 90 Initiate Thiazide or CCB, alone or in combination.

,Question:
What is the BP goal for a hypertensive black patient with DM? (any age) What is the
1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
< 140/90 Initiate Thiazide or CCB, alone or in combination.

Question:
What is the BP goal for a hypertensive nonblack patient with DM? (any age) What is the
1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
SBP < 140 DIA < 90 Initiate Thiazide, ACE-Inhibitor, ARB, or CCB, alone or in
combination

Question:
What is the BP goal for a hypertensive patient who has CKD with or without DM? (any
age + any race) What is the 1st-Line Medication for HTN in this pt? MUST KNOW THIS
Answer:
SBP < 140 DIA < 90 Initiate ACE-Inhibitor or ARB, alone or in combination with other
drug class

Question:
What is the BP goal for patients <60YO? (any race) MUST KNOW THIS
Answer:
SBP < 140. DIA < 90

Question:
What is the BP goal for patients e 60YO? (any race) MUST KNOW THIS
Answer:
SBP < 150. DIA < 90

Question:
What is the BP goal for patients with DM? (No CKD + any race) MUST KNOW THIS
Answer:
SBP < 140. DIA < 90

Question:
What is the BP goal for patients with CKD? (With or without DM + any race) MUST
KNOW THIS
Answer:
SBP < 140 DIA < 90

, Question:
You are starting a hypertensive patient on their first medication or combination
therapy for HTN. What are the 3 drug titration strategies? MUST KNOW THIS
Answer:
A. Maximize 1st Rx before adding a 2nd
B. Add 2nd Rx before reaching max dose of 1st Rx
C. Start w/ 2 Rx classes separately or as a fixed-dose combination

Question:
A hypertensive patient has already started on their first medication or combination
therapy for HTN, and they are not at their goal BP. What do you do for each of the
prescribing strategies? MUST KNOW THIS
Answer:
#1 = Reinforce Rx + Lifestyle adherence For Strategies A + B = Add Thiazide,
ACE-Inhibitor, ARB, or CCB **Use Rx class not previously used + Avoid combined use of
ACE-Inhibitor + ARB** For Strategy C = Titrate doses of initial Rx to Maximum

Question:
What is Strategy "A" for drug treatment titration strategy for HTN? If that doesn't get
them to their goal BP, what is the next measure? MUST KNOW THIS
Answer:
Maximize 1st Rx before adding a 2nd. Isn't working:
- Reinforce Rx + Lifestyle adherence
- Add + titrate thiazide, ACEI, ARB, or CCB **Use Rx class not previously used, avoid
combo of ACEI + ARB**

Question:
What is Strategy "B" for drug treatment titration strategy for HTN? If that doesn't get
them to their goal BP, what is the next measure? MUST KNOW THIS
Answer:
Add 2nd Rx before reaching Max dose of 1st Rx Isn't working:
- Reinforce Rx + Lifestyle adherence
- Add + titrate thiazide, ACEI, ARB, or CCB **Use Rx class not previously used, avoid
combo of ACEI + ARB**

Question:
What is Strategy "C" for drug treatment titration strategy for HTN? If that doesn't get
them to their goal BP, what is the next measure? MUST KNOW THIS
Answer:
Start with 2 medication classes separately, or as a fixed-dose combination. Isn't
working:
- Titrate doses of initial Rx to maximum