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NRP507 Advanced Pharmacology

Week 3 Quiz

Question 1

What physical assessment is required prior to initiating a new hypertensive patient on an ACE?

1. Distal pulse intensity

2.Carotid bruits

3.Pulse deficit

4.Renal bruits

Question 2

Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct.

1.Administration to older adults because of reduced renal function

2. Digoxin given with aldosterone antagonist diuretics because of decreased potassium levels

3. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin

4. Doses between 0.25 and 0.5 mg/day

Question 3

Beta blockers are especially helpful for patients with exertional angina who also have:

1.Arrhythmias

2.Hypothyroidism

3. Hyperlipidemia

4.Atherosclerosis

Question 4

Medications are typically started for angina patients when:

1.The first permanent electrocardiographic (ECG) changes occur

2. Class I or II symptoms begin

3.The events trigger a trip to the emergency department

4.Troponin levels become altered

Question 5

Class I recommendations for stage A HF include:

1. Aerobic exercise within tolerance levels to prevent the development of HF

2.Reduction of sodium intake to less than 2,000 mg/day to prevent fluid retention

3.Beta blockers for all patients regardless of cardiac history

4. Treatment of thyroid disorders, especially if they are associated with tachyarrhythmias

Question 6

ACE inhibitors are a foundational medication in HF. Which group of patients cannot take them safely?

1. Elderly patients with reduced renal clearance

2.Pregnant women

3. Women under age 30

4.1 and 2

Question 7

The most recent treatment guidelines strongly recommend dosing primarily based on:

1. Family history

2. Personal CV risk

3.Specific lipid levels

4.Twenty-year risk of CV event

Question 8

When considering which cholesterol-lowering drug to prescribe, which factor determines the type and intensity of treatment?

1. Total LDL

2. Fasting high-density lipoprotein (HDL)

3. Coronary artery disease risk level

4.Fasting total cholesterol

Question 9

Potassium excess risk is highest with which combination of medications:

1. Aldactone and a beta blocker

2. An ACE and a loop diuretic

3. An ARB and an aldosterone antagonist

4. A direct renin inhibitor and a thiazide

Question 10

Lack of adherence to blood pressure management is very common. Reasons for this lack of adherence include:

1. Lifestyle changes are difficult to achieve and maintain.

2. Adverse drug reactions .

3. Costs of drugs and monitoring with laboratory tests can be expensive.

4.All of the above

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