Midterm Exam: NR 577 / NR577
(Latest Update ) Primary
Care Management of Adolescents
and Adults | Test Review Questions
& Answers | Grade A | 100%
Correct – Chamberlain
Question:
Depression
Answer:
Generally avoid beta blocker, central alpha-2 agonist
Question:
Gout
Answer:
Generally avoid loop or thiazide diuretic
,Question:
Hyperkalemia
Answer:
Generally avoid aldosterone antagonist, ACE inhibitor, ARB, renin inhibitor
Question:
Hyponatremia
Answer:
avoid thiazide diuretics
Question:
renovascular disease
Answer:
avoid ACE, ARB renin inhibitors
,Question:
Baseline Systolic BP >15 mmHg above goal
2 Drug Therapy
Answer:
Long-acting ACE inhibitor or ARB + long-acting dihydropyridine calcium
channel blocker
ACE inhibitor or ARB +thiazide diuretic
Question:
Uncontrolled on 2 Antihypertensive Medications
Answer:
ACE inhibitor or ARB in + long-acting dihydropyridine calcium channel
blocker + thiazide-like diuretic (chlorthalidone preferred)
If a long-acting dihydropyridine calcium channel blocker is not tolerated due
to leg swelling, a non-dihydropyridine calcium channel blocker (ie, verapamil
or diltiazem) may be used
If a thiazide-like diuretic is not tolerated or is contraindicated, a
mineralocorticoid receptor antagonist (ie, spironolactone or eplerenone) may
be used
If the above drug classes cannot be used due to intolerance or
contraindication, a beta blocker, alpha blocker, or direct arterial vasodilators
can be used
, Question:
Hypertensive Urgency & Emergency
Answer:
Severe hypertension is a common diagnosis. Blood pressure > 180/110 mmHg
is considered severe and can be classified into one of two categories,
hypertensive urgency (also referred to as hypertensive crisis) and hypertensive
emergency. The difference between the two categories is based on impending
or progressive target organ dysfunction.
Question:
Hypertensive urgency
Answer:
severe elevations in BP (180/120) without progressive target organ
dysfunction.
Question:
Hypertensive urgency may be managed in the primary care office.
Answer:
severe headache
shortness of breath
epistaxis
severe anxiety
(Latest Update ) Primary
Care Management of Adolescents
and Adults | Test Review Questions
& Answers | Grade A | 100%
Correct – Chamberlain
Question:
Depression
Answer:
Generally avoid beta blocker, central alpha-2 agonist
Question:
Gout
Answer:
Generally avoid loop or thiazide diuretic
,Question:
Hyperkalemia
Answer:
Generally avoid aldosterone antagonist, ACE inhibitor, ARB, renin inhibitor
Question:
Hyponatremia
Answer:
avoid thiazide diuretics
Question:
renovascular disease
Answer:
avoid ACE, ARB renin inhibitors
,Question:
Baseline Systolic BP >15 mmHg above goal
2 Drug Therapy
Answer:
Long-acting ACE inhibitor or ARB + long-acting dihydropyridine calcium
channel blocker
ACE inhibitor or ARB +thiazide diuretic
Question:
Uncontrolled on 2 Antihypertensive Medications
Answer:
ACE inhibitor or ARB in + long-acting dihydropyridine calcium channel
blocker + thiazide-like diuretic (chlorthalidone preferred)
If a long-acting dihydropyridine calcium channel blocker is not tolerated due
to leg swelling, a non-dihydropyridine calcium channel blocker (ie, verapamil
or diltiazem) may be used
If a thiazide-like diuretic is not tolerated or is contraindicated, a
mineralocorticoid receptor antagonist (ie, spironolactone or eplerenone) may
be used
If the above drug classes cannot be used due to intolerance or
contraindication, a beta blocker, alpha blocker, or direct arterial vasodilators
can be used
, Question:
Hypertensive Urgency & Emergency
Answer:
Severe hypertension is a common diagnosis. Blood pressure > 180/110 mmHg
is considered severe and can be classified into one of two categories,
hypertensive urgency (also referred to as hypertensive crisis) and hypertensive
emergency. The difference between the two categories is based on impending
or progressive target organ dysfunction.
Question:
Hypertensive urgency
Answer:
severe elevations in BP (180/120) without progressive target organ
dysfunction.
Question:
Hypertensive urgency may be managed in the primary care office.
Answer:
severe headache
shortness of breath
epistaxis
severe anxiety
