Regis NU641 Adv Clinical Pharmacology Midterm ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Exam with verified detailed solutions ||//\\|| ||//\\|| ||//\\|| ||//\\||
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?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Diuretics - correct answer✔✔If not chosen as the first drug in hypertension treatment, which ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
drug class should be added as a second step because it will enhance the effects of most
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
other agents? ||//\\||
Determine their other risk factors - correct answer✔✔A 65-year-old patient who has been on ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a lipid-lowering diet and is using plant sterol margarine daily for the past three months. Her
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
LDL is 135mg/dL. What would an appropriate treatment for them be?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which increases contractility, which increase the activity of the NA+/K+/ATPase pump
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
indirectly - correct answer✔✔Calcium Channel Blocker's helps control blood pressure ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
because it ||//\\||
discussion of expected adverse drug reactions - correct answer✔✔Patient education ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
regarding prescribed medications includes ||//\\|| ||//\\|| ||//\\||
Do not take any herbal products without first discussing this with the provider - correct
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
answer✔✔Patient education when prescribing clopidogrel includes which of the following ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
statements?
If they stop the medication, their lipid levels will return to pretreatment levels; medication is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a supplement to diet therapy and exercise; and if they have muscle aches or pain, they
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
should contract their provider - correct answer✔✔When starting a patient on a statin, what
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
would education include? ||//\\|| ||//\\||
Exam with verified detailed solutions ||//\\|| ||//\\|| ||//\\|| ||//\\||
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?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Diuretics - correct answer✔✔If not chosen as the first drug in hypertension treatment, which ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
drug class should be added as a second step because it will enhance the effects of most
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
other agents? ||//\\||
Determine their other risk factors - correct answer✔✔A 65-year-old patient who has been on ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a lipid-lowering diet and is using plant sterol margarine daily for the past three months. Her
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
LDL is 135mg/dL. What would an appropriate treatment for them be?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which increases contractility, which increase the activity of the NA+/K+/ATPase pump
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
indirectly - correct answer✔✔Calcium Channel Blocker's helps control blood pressure ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
because it ||//\\||
discussion of expected adverse drug reactions - correct answer✔✔Patient education ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
regarding prescribed medications includes ||//\\|| ||//\\|| ||//\\||
Do not take any herbal products without first discussing this with the provider - correct
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
answer✔✔Patient education when prescribing clopidogrel includes which of the following ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
statements?
If they stop the medication, their lipid levels will return to pretreatment levels; medication is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a supplement to diet therapy and exercise; and if they have muscle aches or pain, they
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
should contract their provider - correct answer✔✔When starting a patient on a statin, what
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
would education include? ||//\\|| ||//\\||