Advanced pharmacology latest questions and
verified answers
A 68-year-old woman presents with hypertension and BP
of 152-158/92-96 mm Hg documented over 2 months on
three different occasions. Electrocardiogram (ECG) and
creatinine are normal, and she has no proteinuria. Clinical
findings include the following: BMI 26.4 kg/m2; no S3,
S4, or murmur; and point of mA 68-year-old woman presents with hypertension and BP
of 152-158/92-96 mm Hg documented over 2 months on
three different occasions. Electrocardiogram (ECG) and
creatinine are normal, and she has no proteinuria. Clinical
findings include the following: BMI 26.4 kg/m2; no S3,
S4, or murmur; and point of maximal impulse at fifth
intercostal space, mid-clavicular line. Which of the
following represents the best intervention?
A. Initiate therapy with metoprolol.
B. Initiate therapy with hydrochlorothiazide.
C. Initiate therapy with methyldopa.
D. Continue to monitor BP, and start drug therapy if
evidence of target organ damage.
B
The most important long-term goal of treating
hypertension is to:
A. strive to reach recommended numeric
BP measurement.
B. avoid disease-related target organ damage.
C. develop a plan of care with minimal adverse effects.
D. treat concomitant health problems often noted in
the person with this condition.
B
,Match the antihypertension medication with its
appropriate class.
_______6. amlodipine
_______7. diltiazem
_______8. trandolapril
_______9. telmisartan
_______10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
channel blocker
D. angiotensin receptor
antagonist
E. ACEI
6. C.
7. B.
8. E.
9. D.
10. A.
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
and the rest of her history and examination are unremarkable.
Documentation from her former healthcare
provider indicates that her BP has been in the range for
the past 12 months. Your next best action is to:
A. prescribe an angiotensin-converting enzyme inhibitor
(ACEI).
B. have her return for a BP check in 1 week.
,C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist.
A
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders.
C
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
B. uric acid.
C. creatinine.
D. potassium.
B
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes
of brisk walking most days of the week.
D. consuming at least 1-2 servings of alcohol.
D
You see a 38-year-old African American male with
hypertension who is currently being treated with
thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of
, diabetes mellitus or chronic kidney disease. Following
current best evidence, you consider adding which of
the following medications?
A. ACEI
B. angiotensin receptor blocker (ARBs)
C. beta-adrenergic receptor antagonist
D. calcium channel blocker
D
Nondihydropyridine calcium channel blockers are contraindicated
in patients with:
A. type 1 diabetes mellitus.
B. a history of venous thromboembolism.
C. severe left ventricular dysfunction.
D. concomitant treatment with an ACEI.
C
In obtaining an office BP measurement, which of the
following is most reflective of the best practice?
A. The patient should sit in a chair with feet flat on the
floor for at least 5 minutes before obtaining the
reading.
B. The BP cuff should not cover more than 50% of the
upper arm.
C. The patient should sit on the edge of the examination
table without arm support to enhance reading
accuracy.
D. Obtaining the BP reading immediately after the
patient walks into the examination room is
recommended.
A
A BP elevation noted only at an office visit is commonly
known as hypertension.
A. provider-induced
B. clinical
C. white coat
D. pseudo
verified answers
A 68-year-old woman presents with hypertension and BP
of 152-158/92-96 mm Hg documented over 2 months on
three different occasions. Electrocardiogram (ECG) and
creatinine are normal, and she has no proteinuria. Clinical
findings include the following: BMI 26.4 kg/m2; no S3,
S4, or murmur; and point of mA 68-year-old woman presents with hypertension and BP
of 152-158/92-96 mm Hg documented over 2 months on
three different occasions. Electrocardiogram (ECG) and
creatinine are normal, and she has no proteinuria. Clinical
findings include the following: BMI 26.4 kg/m2; no S3,
S4, or murmur; and point of maximal impulse at fifth
intercostal space, mid-clavicular line. Which of the
following represents the best intervention?
A. Initiate therapy with metoprolol.
B. Initiate therapy with hydrochlorothiazide.
C. Initiate therapy with methyldopa.
D. Continue to monitor BP, and start drug therapy if
evidence of target organ damage.
B
The most important long-term goal of treating
hypertension is to:
A. strive to reach recommended numeric
BP measurement.
B. avoid disease-related target organ damage.
C. develop a plan of care with minimal adverse effects.
D. treat concomitant health problems often noted in
the person with this condition.
B
,Match the antihypertension medication with its
appropriate class.
_______6. amlodipine
_______7. diltiazem
_______8. trandolapril
_______9. telmisartan
_______10. pindolol
A. beta-adrenergic receptor
antagonist
B. nondihydropyridine
calcium channel blocker
C. dihydropyridine calcium
channel blocker
D. angiotensin receptor
antagonist
E. ACEI
6. C.
7. B.
8. E.
9. D.
10. A.
You see a 68-year-old woman as a patient who is transferring
care into your practice. She has a 10-year history
of hypertension, diabetes mellitus, and hyperlipidemia.
Current medications include hydrochlorothiazide
(HCTZ), glipizide, metformin, simvastatin, and daily
low-dose aspirin. Today's BP reading is 158/92 mm Hg,
and the rest of her history and examination are unremarkable.
Documentation from her former healthcare
provider indicates that her BP has been in the range for
the past 12 months. Your next best action is to:
A. prescribe an angiotensin-converting enzyme inhibitor
(ACEI).
B. have her return for a BP check in 1 week.
,C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist.
A
You examine a 78-year-old woman with long-standing,
poorly controlled hypertension. When evaluating her
for hypertensive target organ damage, you look for
evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders.
C
Diagnostic testing for a patient with newly diagnosed
primary hypertension should include all of the following
except:
A. hematocrit.
B. uric acid.
C. creatinine.
D. potassium.
B
In the person with hypertension, the nurse practitioner
(NP) recommends all of the following to potentially
reduce BP in a patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes
of brisk walking most days of the week.
D. consuming at least 1-2 servings of alcohol.
D
You see a 38-year-old African American male with
hypertension who is currently being treated with
thiazide-type diuretic. His current blood pressure
reading is 156/94 mm Hg and he has no history of
, diabetes mellitus or chronic kidney disease. Following
current best evidence, you consider adding which of
the following medications?
A. ACEI
B. angiotensin receptor blocker (ARBs)
C. beta-adrenergic receptor antagonist
D. calcium channel blocker
D
Nondihydropyridine calcium channel blockers are contraindicated
in patients with:
A. type 1 diabetes mellitus.
B. a history of venous thromboembolism.
C. severe left ventricular dysfunction.
D. concomitant treatment with an ACEI.
C
In obtaining an office BP measurement, which of the
following is most reflective of the best practice?
A. The patient should sit in a chair with feet flat on the
floor for at least 5 minutes before obtaining the
reading.
B. The BP cuff should not cover more than 50% of the
upper arm.
C. The patient should sit on the edge of the examination
table without arm support to enhance reading
accuracy.
D. Obtaining the BP reading immediately after the
patient walks into the examination room is
recommended.
A
A BP elevation noted only at an office visit is commonly
known as hypertension.
A. provider-induced
B. clinical
C. white coat
D. pseudo
