NU 578 Unit 3 Questions and Answers
Question 1.
Ch 44 - Understand the risk for CV disease development—this is in your book. Who is most
likely to develop CV disease? What are risk factors? How do you calculate risk? Table 44.3
Correct Answer: Advancing age, black race, hypertension, smoking, low HDL.
High HDL is also a risk factor. Diabetes. Age, total cholesterol, HDL, smoking
status, systolic BP.
Question 2.
Ch 41 - Treatment of hypertension! Especially the "big four" classes of drugs—diuretics,
beta blockers, calcium channel blockers 39, ACEI/ARBs: Know how to use and side effects,
and drugs that are used in combination—and the benefit of using them in combination (for
instance, using a thiazide diuretic plus and ACE offsets the effect on potassium). Make
sure you know the side effects of ACEI, ARBs, beta blockers, and CCBs. Amlodipine,
Lisinopril, Metoprolol, Labetalol, Carvedilol, Losartan, Valsartan, HCTZ, Chlorthalidone,
Verapamil are good to know.
Correct Answer:
Question 3.
Ch 42 - Treatment of heart failure! Be aware of combination therapy here and the
rationale. Know the roles of ACEI, beta blockers, diuretics. Know monitoring parameters for
the HF patient. Know how to manage HF in certain comorbidities (HTN, previous MI). Mark
the table (table 42.3) in your book that talks about the stages of HF and discusses
management if this is not something you are already familiar with! Lisinopril, Digoxin,
Metoprolol, HCTZ, Furosemide, Ivabradine, Sacubitril, Losartan, Valsartan, anticoagulants
(see below) are good to know.
Correct Answer:
Question 4.
CH 91 - MI management! Understand the drugs that a patient who has had an MI would be
given at discharge and why. Know the drugs that are used "in the moment"—especially
drugs used to dissolve or prevent clots. Remember, there are different classes of drugs
here, that are anticoagulant or antiplatelet. Understand rationale for using drugs like
Clopidogrel, Prasugrel, Ticlopidine, Alteplase, Enoxaparin, Rivaroxaban, Apixaban
Correct Answer:
Question 5.
CH 44 - Management of hyperlipidemias! High LDLs, High VLDLs, familial
hypercholesterolemia. Be very familiar with side effects of 'statins, niacin, gemfibrozil,
fenofibrate—know the different drugs for different hyperlipidemias. Who is typically
prescribed PCSK9 inhibitors (Evolocumab)?
Correct Answer: Know how to calculate (or assess) CV risk. See p. 354.
Question 1.
Ch 44 - Understand the risk for CV disease development—this is in your book. Who is most
likely to develop CV disease? What are risk factors? How do you calculate risk? Table 44.3
Correct Answer: Advancing age, black race, hypertension, smoking, low HDL.
High HDL is also a risk factor. Diabetes. Age, total cholesterol, HDL, smoking
status, systolic BP.
Question 2.
Ch 41 - Treatment of hypertension! Especially the "big four" classes of drugs—diuretics,
beta blockers, calcium channel blockers 39, ACEI/ARBs: Know how to use and side effects,
and drugs that are used in combination—and the benefit of using them in combination (for
instance, using a thiazide diuretic plus and ACE offsets the effect on potassium). Make
sure you know the side effects of ACEI, ARBs, beta blockers, and CCBs. Amlodipine,
Lisinopril, Metoprolol, Labetalol, Carvedilol, Losartan, Valsartan, HCTZ, Chlorthalidone,
Verapamil are good to know.
Correct Answer:
Question 3.
Ch 42 - Treatment of heart failure! Be aware of combination therapy here and the
rationale. Know the roles of ACEI, beta blockers, diuretics. Know monitoring parameters for
the HF patient. Know how to manage HF in certain comorbidities (HTN, previous MI). Mark
the table (table 42.3) in your book that talks about the stages of HF and discusses
management if this is not something you are already familiar with! Lisinopril, Digoxin,
Metoprolol, HCTZ, Furosemide, Ivabradine, Sacubitril, Losartan, Valsartan, anticoagulants
(see below) are good to know.
Correct Answer:
Question 4.
CH 91 - MI management! Understand the drugs that a patient who has had an MI would be
given at discharge and why. Know the drugs that are used "in the moment"—especially
drugs used to dissolve or prevent clots. Remember, there are different classes of drugs
here, that are anticoagulant or antiplatelet. Understand rationale for using drugs like
Clopidogrel, Prasugrel, Ticlopidine, Alteplase, Enoxaparin, Rivaroxaban, Apixaban
Correct Answer:
Question 5.
CH 44 - Management of hyperlipidemias! High LDLs, High VLDLs, familial
hypercholesterolemia. Be very familiar with side effects of 'statins, niacin, gemfibrozil,
fenofibrate—know the different drugs for different hyperlipidemias. Who is typically
prescribed PCSK9 inhibitors (Evolocumab)?
Correct Answer: Know how to calculate (or assess) CV risk. See p. 354.
