Exam 1: NU664B / NU 664B (Latest
Update ) Primary Care of
Family I | Questions & Answers |
Grade A | 100% Correct - Regis
Question:
weight loss in HTN
Answer:
systolic BP down 1mm for every pound lost in obese persons
Question:
How do thiazide diuretics work?
Answer:
- Reduce reabsorption of sodium and chloride in ascending loop of Henle &
early distal tubules.
- decrease peripheral resistance
- drug of choice for patients with NO comorbidities, black persons, obese,
and elderly
- favorable in osteopenia (helps keep Ca in body)
,Question:
AsVCD score
Answer:
- age
-race
- Blood pressure
- total cholesterol
- HDL & LDL
- any medication treatments
- DM?
-smoking
Question:
what is the max effective dose of HCTZ?
Answer:
25 mg daily
,Question:
ACE drugs
Answer:
-pril drugs
first line for:
1. HF
2. LV dysfunction
3. DM
4. Proteinuric kidney disease
NOT for breastfeeding or pregnant women
Question:
side effects of ACE-I and how to manage
Answer:
1. angioedema - more common in blacks, if this happens, drug should be
stopped. patient should also NOT try ARB
2. cough - more common in blacks and women, can switch to an ARB
3. hyperkalemia
4. renal insufficiency - check baseline creatinine before starting)
5. hypotension - restart at half dose
, Question:
ARB drugs
Answer:
-sartan drugs
- good for pts who don't tolerate ACE-I's
- don't give w an ACE
- peak effect = 4-6 weeks
Question:
calcium channel blockers
Answer:
agents that inhibit the entry of calcium ions into heart muscle cells, causing a
slowing of the heart rate, a lessening of the demand for oxygen and nutrients,
and a relaxing of the smooth muscle cells of the blood vessels to cause
dilation; used to prevent or treat angina pectoris, some arrhythmias, and
hypertension
- adverse effect: peripheral edema - most common in women, dose > 5mg
- adding an ACE decreases risk of edema
two types:
dyhydropyridines (work more peripherally) = amlodipine
Update ) Primary Care of
Family I | Questions & Answers |
Grade A | 100% Correct - Regis
Question:
weight loss in HTN
Answer:
systolic BP down 1mm for every pound lost in obese persons
Question:
How do thiazide diuretics work?
Answer:
- Reduce reabsorption of sodium and chloride in ascending loop of Henle &
early distal tubules.
- decrease peripheral resistance
- drug of choice for patients with NO comorbidities, black persons, obese,
and elderly
- favorable in osteopenia (helps keep Ca in body)
,Question:
AsVCD score
Answer:
- age
-race
- Blood pressure
- total cholesterol
- HDL & LDL
- any medication treatments
- DM?
-smoking
Question:
what is the max effective dose of HCTZ?
Answer:
25 mg daily
,Question:
ACE drugs
Answer:
-pril drugs
first line for:
1. HF
2. LV dysfunction
3. DM
4. Proteinuric kidney disease
NOT for breastfeeding or pregnant women
Question:
side effects of ACE-I and how to manage
Answer:
1. angioedema - more common in blacks, if this happens, drug should be
stopped. patient should also NOT try ARB
2. cough - more common in blacks and women, can switch to an ARB
3. hyperkalemia
4. renal insufficiency - check baseline creatinine before starting)
5. hypotension - restart at half dose
, Question:
ARB drugs
Answer:
-sartan drugs
- good for pts who don't tolerate ACE-I's
- don't give w an ACE
- peak effect = 4-6 weeks
Question:
calcium channel blockers
Answer:
agents that inhibit the entry of calcium ions into heart muscle cells, causing a
slowing of the heart rate, a lessening of the demand for oxygen and nutrients,
and a relaxing of the smooth muscle cells of the blood vessels to cause
dilation; used to prevent or treat angina pectoris, some arrhythmias, and
hypertension
- adverse effect: peripheral edema - most common in women, dose > 5mg
- adding an ACE decreases risk of edema
two types:
dyhydropyridines (work more peripherally) = amlodipine
