REGIS NU641 ADV CLINICAL PHARMACOLOGY MIDTERM EXAM QUESTIONS WITH CORRECT ANSWERS

Angina, Coronary Artery Disease, & Migraines CORRECT ANSWER Patients that are at highest risk for abruptly stopping a beta blocker are those with Angiotensin-converting enzyme (ACE) inhibitors CORRECT ANSWER The medication that helps the imbalance between myocardial oxygen supply and myocardial oxygen demand in the myocardium by increasing the myocardial oxygen supply improves insulin sensitivity improves renal hemodynamics reduce production of angiotensin II CORRECT ANSWER Roles of Angiotensin-converting enzyme (ACE) inhibitors in DM patients Activation of the sympathetic nervous system that increases heart rate and preload CORRECT ANSWER The pathological change that takes place in HF that is not addressed by ACE inhibitors blunted coronary artery dilation due to calcified plaque CORRECT ANSWER Reason why nitro glycerin tablets "do not work well" in patient with hyperlipidemia and angina age factoring in the cost to the patient of the medication prescribed CORRECT ANSWER Clinical judgement in prescribing includes decreased renal function CORRECT ANSWER Prior to prescribing an ACE inhibitor the NP should access for statins CORRECT ANSWER First-line pharmacologic therapy for hyperlipidemia Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily living CORRECT ANSWER When is consultation with or referral to a cardiologist appropriate?