VSITE Risk Factors & Atherosclerosis
UPDATED ACTUAL Questions and
CORRECT Answers
What is stage 2 hypertension criteria? - CORRECT ANSWER Stage 1 hypertension: 130-
139 systolic or 80-89 diastolic
Stage 2: >140 systolic or >90 diastolic
Hypertensive crisis: > 180 or > 120
If patient has CKD and or DM regardless of age what is BP treatment goal?
What if PAD too? - CORRECT ANSWER < 140 systolic and < 90 diastolic
< 130 and < 80
Which antihypertensive can cause peripheral edema?
Hypokalemic hypochloremic contraction metabolic alkalosis?
Avoid in bilateral renal artery stenosis? - CORRECT ANSWER Dihydropyridine Ca
channel blockers
Loop Diuretics
Thiazide Diuretics
Avoid ACE inhibitors in bilateral renal artery stenosis because will further decrease GFR
Nitroprusside can cause cyanide poisoning? How does this present? - CORRECT
ANSWER metabolic acidosis, altered mental status, skin flushing,
Treat with hydroxycobalamin
What is recommended screening for patients for hypercholeserolemia? - CORRECT
ANSWER > 20 fasting lipid levels q5 years
What is normal cholesterol? LDL? HDL? Triglycerides?
, What are problem levels for cholesterol, LDL, HDL, triglycerides? - CORRECT
ANSWER < 200, < 100, > 60, < 150
> 240, > 160, < 40, > 200
What medication should be added if triglycerides > 800?
What cholesterol med can cause flushing? - CORRECT ANSWER Fibrates so gemfibrozil,
fenofibrate
Niacin B3
How does smoking affect endothelial dysfunction?
platelets?
nervous system?
aneurysm formation? - CORRECT ANSWER Endothelial dysfunction decreased
availability of NO so ROS and reduced dilation
Thromboxane A2 release so platelets aggregate prothrombotic state
Nicotine increase sympathetic nervous system so hypertension and insulin resistance
Increased matrix-metalloproteinase degenerates endothelium so aneurysm formation
MOA of Bupropion
Start when?
Side effects? - CORRECT ANSWER (Wellbutrin)
Increases NE and DA at synaptic cleft
2 weeks prior to quit date
Lowers seizure threshold
Insomnia
Do not use if eating disorder
UPDATED ACTUAL Questions and
CORRECT Answers
What is stage 2 hypertension criteria? - CORRECT ANSWER Stage 1 hypertension: 130-
139 systolic or 80-89 diastolic
Stage 2: >140 systolic or >90 diastolic
Hypertensive crisis: > 180 or > 120
If patient has CKD and or DM regardless of age what is BP treatment goal?
What if PAD too? - CORRECT ANSWER < 140 systolic and < 90 diastolic
< 130 and < 80
Which antihypertensive can cause peripheral edema?
Hypokalemic hypochloremic contraction metabolic alkalosis?
Avoid in bilateral renal artery stenosis? - CORRECT ANSWER Dihydropyridine Ca
channel blockers
Loop Diuretics
Thiazide Diuretics
Avoid ACE inhibitors in bilateral renal artery stenosis because will further decrease GFR
Nitroprusside can cause cyanide poisoning? How does this present? - CORRECT
ANSWER metabolic acidosis, altered mental status, skin flushing,
Treat with hydroxycobalamin
What is recommended screening for patients for hypercholeserolemia? - CORRECT
ANSWER > 20 fasting lipid levels q5 years
What is normal cholesterol? LDL? HDL? Triglycerides?
, What are problem levels for cholesterol, LDL, HDL, triglycerides? - CORRECT
ANSWER < 200, < 100, > 60, < 150
> 240, > 160, < 40, > 200
What medication should be added if triglycerides > 800?
What cholesterol med can cause flushing? - CORRECT ANSWER Fibrates so gemfibrozil,
fenofibrate
Niacin B3
How does smoking affect endothelial dysfunction?
platelets?
nervous system?
aneurysm formation? - CORRECT ANSWER Endothelial dysfunction decreased
availability of NO so ROS and reduced dilation
Thromboxane A2 release so platelets aggregate prothrombotic state
Nicotine increase sympathetic nervous system so hypertension and insulin resistance
Increased matrix-metalloproteinase degenerates endothelium so aneurysm formation
MOA of Bupropion
Start when?
Side effects? - CORRECT ANSWER (Wellbutrin)
Increases NE and DA at synaptic cleft
2 weeks prior to quit date
Lowers seizure threshold
Insomnia
Do not use if eating disorder
