Regis NU641 Adv Pharmacology Quiz 1
UPDATED ACTUAL Exam Questions and
CORRECT Answers
hyperlipidemia - CORRECT ANSWER - high cholesterol levels in the blood, which can
lead to heart dz, stroke and other problems caused by block arteries
Atherosclerosis - CORRECT ANSWER - Changes in the walls of large arteries consisting
of lipid deposits on the artery walls, which incidences can be reduced with proper treatment of
hyperlipidemia
Treatment goal of hyperlipidemia - CORRECT ANSWER - lowering of the cholesterol to
appropriate levels to decrease the risk of heart attack and stroke
Non-pharmacology treatment - CORRECT ANSWER - Therapeutic Lifestyle Changes
(TLC) important part of treatment and are not futile
Pharmacology - CORRECT ANSWER - Medications
Statins - CORRECT ANSWER - lower cholesterol in the blood and reduce its production
in the liver by blocking the enzyme that produces it; has adverse effects that can occur more
frequently at higher doses.
LDL cholesterol - CORRECT ANSWER - goal of < 70 in high risk patients
goal of < 100 in mod high-risk patients
DM pts w/ acute coronary artery syndrome & multiple or uncontrolled risk factors; Tx = -
CORRECT ANSWER - TLC, changes in diet restrict refined carbs (sugar & liquid
calories), wgt loss (pt will not be able to participate in aerobic activity if had previous MI),
decreased insulin resistance, decreased BP, improved cardiovascular conditioning, limit/ restrict
ETOH consumption.
, Which patients are easier to manage? - CORRECT ANSWER - Patients at low risk for
developing heart dz.
What med is recommended if the LDL cannot be decreased by a high dose of potent statin? -
CORRECT ANSWER - Nicotinic acid
Med combination to lower triglycerides and increase the HDL - CORRECT ANSWER -a
fibrate/nicotinic acid with statin
Patient Education for Statin - CORRECT ANSWER - Pt to report report extreme fatigue,
darked-color urine, ck elevated, rhabdomylitis (muscle aches); if reported stop immediately and
check LFT(Liver Fxn Test)
lescol (Statin) - CORRECT ANSWER - This med can affect liver function and increase
liver enzymes as well cause the pt to feel weak, fatigue and have muscle aches checking the LFT
is recommended
Acute drug induced hepatitis - CORRECT ANSWER - the Liver enzymes are elevated w/
the use of statin
If pt has acute and chronic hepatitis, liver disease cirrhosis and alcoholism; or
pregnant/breastfeeding mothers - CORRECT ANSWER - DO NOT PRESCRIBE
STATINS
First-line therapy for hyperlipidemia - CORRECT ANSWER - Therapeutic Life Changes
(TLC) Such as: balanced diet, weight loss, minimize risk factors before medications
Which drug class is most effective for the management of hyperlipidemia with concurrent
elevated triglycerides (TGs)? - CORRECT ANSWER - Fibrates
UPDATED ACTUAL Exam Questions and
CORRECT Answers
hyperlipidemia - CORRECT ANSWER - high cholesterol levels in the blood, which can
lead to heart dz, stroke and other problems caused by block arteries
Atherosclerosis - CORRECT ANSWER - Changes in the walls of large arteries consisting
of lipid deposits on the artery walls, which incidences can be reduced with proper treatment of
hyperlipidemia
Treatment goal of hyperlipidemia - CORRECT ANSWER - lowering of the cholesterol to
appropriate levels to decrease the risk of heart attack and stroke
Non-pharmacology treatment - CORRECT ANSWER - Therapeutic Lifestyle Changes
(TLC) important part of treatment and are not futile
Pharmacology - CORRECT ANSWER - Medications
Statins - CORRECT ANSWER - lower cholesterol in the blood and reduce its production
in the liver by blocking the enzyme that produces it; has adverse effects that can occur more
frequently at higher doses.
LDL cholesterol - CORRECT ANSWER - goal of < 70 in high risk patients
goal of < 100 in mod high-risk patients
DM pts w/ acute coronary artery syndrome & multiple or uncontrolled risk factors; Tx = -
CORRECT ANSWER - TLC, changes in diet restrict refined carbs (sugar & liquid
calories), wgt loss (pt will not be able to participate in aerobic activity if had previous MI),
decreased insulin resistance, decreased BP, improved cardiovascular conditioning, limit/ restrict
ETOH consumption.
, Which patients are easier to manage? - CORRECT ANSWER - Patients at low risk for
developing heart dz.
What med is recommended if the LDL cannot be decreased by a high dose of potent statin? -
CORRECT ANSWER - Nicotinic acid
Med combination to lower triglycerides and increase the HDL - CORRECT ANSWER -a
fibrate/nicotinic acid with statin
Patient Education for Statin - CORRECT ANSWER - Pt to report report extreme fatigue,
darked-color urine, ck elevated, rhabdomylitis (muscle aches); if reported stop immediately and
check LFT(Liver Fxn Test)
lescol (Statin) - CORRECT ANSWER - This med can affect liver function and increase
liver enzymes as well cause the pt to feel weak, fatigue and have muscle aches checking the LFT
is recommended
Acute drug induced hepatitis - CORRECT ANSWER - the Liver enzymes are elevated w/
the use of statin
If pt has acute and chronic hepatitis, liver disease cirrhosis and alcoholism; or
pregnant/breastfeeding mothers - CORRECT ANSWER - DO NOT PRESCRIBE
STATINS
First-line therapy for hyperlipidemia - CORRECT ANSWER - Therapeutic Life Changes
(TLC) Such as: balanced diet, weight loss, minimize risk factors before medications
Which drug class is most effective for the management of hyperlipidemia with concurrent
elevated triglycerides (TGs)? - CORRECT ANSWER - Fibrates
