HYPERTENSION RXPREP QUIZ WITH
COMPLETE SOLUTIONS
AC is a 67 year old female who presents to the urgent care clinic with headache and
confusion. After reviewing her information, the urgent care clinic sends AC to the
emergency room.
Based on the information provided, AC is likely experiencing: - Correct Answers -
hypertensive emergency
After a few days, AC's blood pressure is at a safe level and she is to be discontinued on
her home regimen. Which of the following pharmacist recommendations would help with
AC's medication compliance? - Correct Answers -Discontinue Zestril and
hydrochlorothiazide and start Zestoretic.
In addition to hydrochlorothiazide, AC is taking which of the following medications for
high blood pressure? - Correct Answers -Lisinopril
Clonidine
AC receives counseling on all of her home medications at discharge. The pharmacist
tells her "this medication can cause dry mouth, constipation and fatigue". Which
medication is the pharmacist referring to? - Correct Answers -Catapres
Of the medications that AC stopped taking, which one has most likely caused her acute
rise in blood pressure? - Correct Answers -Catapres
A 58 year old female is seen in the clinic with a blood pressure of 144/92 mmHg and
advance kidney disease, CrCl 25mL/min. Which medication class would not be effective
for lowering her blood pressure? - Correct Answers -thiazide type diuretics
AJ is a 34 year old male with a history of type 2 diabetes, hypertension and heart
failure. He was recently initiated on metoprolol succinate, What important counseling
point should AJ receive about metoprolol? - Correct Answers -It can mask the
symptoms of hypoglycemia
Which of the following organizations sets the guidelines for the management of
hypertension? - Correct Answers -The american college of cardiology/ american heart
association
HJ is being seen in the clinic for a blood pressure follow up. HJ occasionally suffers
from orthostatic hypotension and syncope. Which of the following medications is the
best choice for treatment? - Correct Answers -amlodipine
, VC comes to the clinic for a follow up visit for his hypertension and diabetes
management. He has been taking four medications to control his blood pressure for a
long time. Today, the pharmacist notices a butterfly rash across VC's nose and upper
cheeks. Which of the following medications is most likely to cause this side effects? -
Correct Answers -hydralazine
which label on the figure best represents the site where chlorthalidone exerts its
mechanism of action - Correct Answers -B
(chlorthalidone and other thiazide diuretics inhibit sodium reabsorption in the distal
convoluted tubule.
Which of the following medications are classified as direct vasodilators? (Select all that
apply) - Correct Answers -Hydralazine
Minoxidil
A hospitalized patient was given the potassium binding resin Kayexalate this morning.
The pharmacist is reviewing her medications. Which of the following medications on the
profile most likely needs to be discontinued? - Correct Answers -Spironolactone
A 55 year old male patient with hypertension was started on lisinopril. He developed
severe swelling of his mouth, with trouble breathing. Which medication would be the
safest option in this patient? - Correct Answers -Microzide
Which of the following drugs can cause sprue like enteropathy - Correct Answers –
Benicar
Which of the following medications should be taken with food? (Select ALL that apply.) -
Correct Answers -Carvedilol immediate-release
Metoprolol succinate
Metoprolol tartrate
Carvedilol controlled-release
A patient experiencing a hypertensive emergency should have a blood pressure
lowered according to which criteria? - Correct Answers -_<25% within the first hour
A 32 year-old female patient has gone to see her primary care physician. The doctor is
looking at her blood work, which includes the following parameters: total cholesterol 202
mg/dL, HDL 52 mg/dL, LDL 130 mg/dL, TG 96 mg/dL, BUN 18 mg/dL, SCr 0.8 mg/dL,
hCG+, with a blood pressure of 168/102 mmHg. Which of the following medications can
be safely administered? - Correct Answers -Labetalol
JB has a past medical history significant for systolic heart failure and hypertension. He
is being seen in the clinic for a routine...Which medication can be safely added to
provide better control of his blood pressure? - Correct Answers -Amlodipine
COMPLETE SOLUTIONS
AC is a 67 year old female who presents to the urgent care clinic with headache and
confusion. After reviewing her information, the urgent care clinic sends AC to the
emergency room.
Based on the information provided, AC is likely experiencing: - Correct Answers -
hypertensive emergency
After a few days, AC's blood pressure is at a safe level and she is to be discontinued on
her home regimen. Which of the following pharmacist recommendations would help with
AC's medication compliance? - Correct Answers -Discontinue Zestril and
hydrochlorothiazide and start Zestoretic.
In addition to hydrochlorothiazide, AC is taking which of the following medications for
high blood pressure? - Correct Answers -Lisinopril
Clonidine
AC receives counseling on all of her home medications at discharge. The pharmacist
tells her "this medication can cause dry mouth, constipation and fatigue". Which
medication is the pharmacist referring to? - Correct Answers -Catapres
Of the medications that AC stopped taking, which one has most likely caused her acute
rise in blood pressure? - Correct Answers -Catapres
A 58 year old female is seen in the clinic with a blood pressure of 144/92 mmHg and
advance kidney disease, CrCl 25mL/min. Which medication class would not be effective
for lowering her blood pressure? - Correct Answers -thiazide type diuretics
AJ is a 34 year old male with a history of type 2 diabetes, hypertension and heart
failure. He was recently initiated on metoprolol succinate, What important counseling
point should AJ receive about metoprolol? - Correct Answers -It can mask the
symptoms of hypoglycemia
Which of the following organizations sets the guidelines for the management of
hypertension? - Correct Answers -The american college of cardiology/ american heart
association
HJ is being seen in the clinic for a blood pressure follow up. HJ occasionally suffers
from orthostatic hypotension and syncope. Which of the following medications is the
best choice for treatment? - Correct Answers -amlodipine
, VC comes to the clinic for a follow up visit for his hypertension and diabetes
management. He has been taking four medications to control his blood pressure for a
long time. Today, the pharmacist notices a butterfly rash across VC's nose and upper
cheeks. Which of the following medications is most likely to cause this side effects? -
Correct Answers -hydralazine
which label on the figure best represents the site where chlorthalidone exerts its
mechanism of action - Correct Answers -B
(chlorthalidone and other thiazide diuretics inhibit sodium reabsorption in the distal
convoluted tubule.
Which of the following medications are classified as direct vasodilators? (Select all that
apply) - Correct Answers -Hydralazine
Minoxidil
A hospitalized patient was given the potassium binding resin Kayexalate this morning.
The pharmacist is reviewing her medications. Which of the following medications on the
profile most likely needs to be discontinued? - Correct Answers -Spironolactone
A 55 year old male patient with hypertension was started on lisinopril. He developed
severe swelling of his mouth, with trouble breathing. Which medication would be the
safest option in this patient? - Correct Answers -Microzide
Which of the following drugs can cause sprue like enteropathy - Correct Answers –
Benicar
Which of the following medications should be taken with food? (Select ALL that apply.) -
Correct Answers -Carvedilol immediate-release
Metoprolol succinate
Metoprolol tartrate
Carvedilol controlled-release
A patient experiencing a hypertensive emergency should have a blood pressure
lowered according to which criteria? - Correct Answers -_<25% within the first hour
A 32 year-old female patient has gone to see her primary care physician. The doctor is
looking at her blood work, which includes the following parameters: total cholesterol 202
mg/dL, HDL 52 mg/dL, LDL 130 mg/dL, TG 96 mg/dL, BUN 18 mg/dL, SCr 0.8 mg/dL,
hCG+, with a blood pressure of 168/102 mmHg. Which of the following medications can
be safely administered? - Correct Answers -Labetalol
JB has a past medical history significant for systolic heart failure and hypertension. He
is being seen in the clinic for a routine...Which medication can be safely added to
provide better control of his blood pressure? - Correct Answers -Amlodipine