11245294
Descripción
Test por Maggie Throckmorton, actualizado hace más de 1 año
|
Creado por Maggie Throckmorton
hace alrededor de 7 años
|
|
Pregunta 1
Pregunta
T or F. African Americans respond better to a Thiazide diuretic.
Respuesta
- True
- False
Pregunta 2
Pregunta
T or F. Beta blockers are 1st line drugs for HTN.
Respuesta
- True
- False
Pregunta 3
Pregunta
Select all that apply. Which of the following are thiazide diuretics.
Respuesta
-
HCTZ
-
Indapamide
-
Lasix
-
Spironolactone
-
Metolazone
Pregunta 4
Pregunta
Which class of diuretics inhibits distal convoluted tubule sodium and chloride re-absorption?
Respuesta
-
Loop
-
Potassium Sparing
-
Potassium Wasting
Pregunta 5
Pregunta
Select all that apply. Which of the following electrolyte imbalances can occur with thiazide diuretics?
Respuesta
-
Hypokalemia
-
Hypehalemia
-
Hypercalcemia
-
Hypocalcemia
-
Hyponatremia
-
Hypernatremia
-
Hypomagnesemia
-
Hypermagnesemia
Pregunta 6
Pregunta
Chlorthalidone and indapamide, are longer acting thiazide diuretics, more potent than HCTZ and carry a higher risk for hypokalemia.
Respuesta
- True
- False
Pregunta 7
Pregunta
A dose of HCTZ greater than _____mg has an increased risk for hypokalemia.
Respuesta
-
30mg
-
70mg
-
50mg
-
60mg
Pregunta 8
Pregunta
What should the NP monitor when a patient is on thiazide diuretics? Select all that apply.
Respuesta
-
BUN
-
Serum Creatinine or CrCl
-
Heart rate
-
Blood pressure
-
Vision changes
-
Electrolytes
Pregunta 9
Pregunta
T or F. Thiazide diuretics are commonly combined with other anti-hypertensives.
Respuesta
- True
- False
Pregunta 10
Pregunta
T or F. Thiazide diuretics are contraindicated in persons with gout as they increase uric acid.
Respuesta
- True
- False
Pregunta 11
Pregunta
T or F. Loop diuretics are used more often for edema than HTN.
Respuesta
- True
- False
Pregunta 12
Pregunta
The following are exemplar Loop Diuretics:
Respuesta
-
Lasix
-
HCTZ
-
Lisinopril
-
Bumetanide
-
Indapamide
-
Metolazone
-
Toresemide
Pregunta 13
Pregunta
Identify the MOA for loop diuretics from the choices below:
Respuesta
-
Inhibits distal convoluted tubule Na+ and Cl reabsorption
-
Inhibits Loop of Henle and proximal/distal convoluted tubule Na+ and Cl reabsorption
-
Stops the conversion of Angiotensin I to Angiotensin II
Pregunta 14
Pregunta
Loop diuretics are contraindicated in patients with:
Respuesta
-
Shellfish allergies
-
Sulfa allergies
-
Diabetes
-
Edema
Pregunta 15
Pregunta
Loop diuretics:
Respuesta
-
Increase K+ and decrease Urea
-
Increase WBG
-
Decrease K+ and Increase Urea
-
Increase neutrophils
Pregunta 16
Pregunta
T or F. Potassium Sparing Diuretics have weak diuretic activity.
Respuesta
- True
- False
Pregunta 17
Pregunta
Exemplars of Potassium Sparing Diuretics Includes: (select all that apply)
Respuesta
-
Triameterene
-
Lasix
-
Bumentanide
-
Spironalactone
-
HCTZ
-
Eplerenone
Pregunta 18
Pregunta
Spironolactone:
Respuesta
-
Decreases K+ and Urea
-
Increases K+ and decreases Urea
-
Increases K+ and Urea
-
Increases Na+
Pregunta 19
Pregunta
Lisinopril should be d/c if serum K+ increases more than?
Respuesta
-
40%
-
15%
-
20%
-
30%
Pregunta 20
Pregunta
Which ACE is not used often for maintenance therapy d/t a short half-life and multiple dosing?
Respuesta
-
Benazepril
-
Catorpil
-
Lisinopril
-
Ramipril
Pregunta 21
Pregunta
If a patient is at high risk for renal artery stenosis, how soon after initiating ACEI should the patient's Cr be checked?
Respuesta
-
1 week
-
1 month
-
48 hours
-
3-5 days
Pregunta 22
Pregunta
Which patient populations have a greater risk of developing angioedema with the use of ACEI? Select all that apply.
Respuesta
-
Asian
-
Latino
-
Pacific Islander
-
Caucasian
-
African American
Pregunta 23
Pregunta
ACEI therapy is preferred for the following populations (select all that apply):
Respuesta
-
Patient's with Diabetic Kidney Disease
-
Pregnant Women
-
Patients with DM
-
Young patients
-
Patients who are Post MI
-
Patients with Heart Failure
-
Patients with Angina
Pregunta 24
Pregunta
ACEI and ARBS can have the following additional positive effects (select all that apply):
Respuesta
-
Improve oxygenation to the heart
-
Decrease inappropriate remodeling of heart muscle after MI
-
Reduce effects of diabetes on the kidneys
-
Improve insulin sensitivity
-
All of the Above
Pregunta 25
Pregunta
What is a possible inconvenient but not life threatening adverse reaction from ACEI therapy?
Respuesta
-
Itching
-
Bradykinin mediated cough
-
Edema
-
Tachycardia
Pregunta 26
Pregunta
ACEI can increase K+
Respuesta
- True
- False
Pregunta 27
Pregunta
An increase in Cr with ACEI therapy is often transient.
Respuesta
- True
- False
Pregunta 28
Pregunta
What is the most common adverse reaction to ACEI therapy?
Respuesta
-
SOB
-
Hypotension
-
Bradycardia
-
Fever
Pregunta 29
Pregunta
The following are exemplars for ARBS (select all that apply)
Respuesta
-
Lisinopril
-
Losartan
-
Amlodipine
-
Valsartan
-
Verapamil
-
Olmesartan
Pregunta 30
Pregunta
ARBS prevent the binding of Angiotensin II to receptors in the kidneys, brain, heart and arterial walls-inhibit RAAS and cause fall in peripheral resistance.
Respuesta
- True
- False
Pregunta 31
Pregunta
ARBS may never be combined with which class of drug?
Respuesta
-
Thiazide diuretics
-
ACEI
-
CC Blockers
-
Direct Renin Inhibitors
Pregunta 32
Pregunta
ACEI and ARBS should be avoided in:
Respuesta
-
Women who are pregnant or may become pregnant
-
Menopausal women
-
Patients with DM
-
The elderly
Pregunta 33
Pregunta
ARBS can be a good choice for patients with Gout because:
Respuesta
-
There is decreased uric acid secretion
-
Increased uric acid secretion
Pregunta 34
Pregunta
T or F. ARBS can raise serum K+.
Respuesta
- True
- False
Pregunta 35
Pregunta
The Direct Renin Inhibitor Tekturna shares this possible side effect with ACEI.
Respuesta
-
Increased WBG
-
Angioedema
-
Cough
-
Decreased K+
Pregunta 36
Pregunta
T or F. Tekturna can increase serum K+.
Respuesta
- True
- False
Pregunta 37
Pregunta
T or F. ARBS are contraindicated in patients with Renal Artery Stenosis.
Respuesta
- True
- False
Pregunta 38
Pregunta
T or F. You can combine ACEI, ARBS and DRI.
Respuesta
- True
- False
Pregunta 39
Pregunta
The following is true of dihydropyridine CCB (select all that apply):
Respuesta
-
Are potent vasodilators that lower calcium influx into the smooth muscle.
-
Have little or no negative effect on cardiac contractility and conduction.
-
Can treat chronic stable angina
-
Can be used in patients with CHF
Pregunta 40
Pregunta
Dihyropyridine CCB include (select all that apply)
Respuesta
-
Norvasc
-
Losartan
-
Nifedipine
-
Benazepril
-
Felodipine
Pregunta 41
Pregunta
T or F. Peripheral edema can be caused by amlodipine.
Respuesta
- True
- False
Pregunta 42
Pregunta
Which class of drugs can be combined with Amlodipine to reduce peripheral edema?
Respuesta
-
ARBS
-
DRI
-
ACES
-
Thiazide Diuretics
Pregunta 43
Pregunta
Dihyrdopyridine CCB have greater efficacy in African Americans.
Respuesta
- True
- False
Pregunta 44
Pregunta
T or F. ACEI can never be prescribed to African Americans.
Respuesta
- True
- False
Pregunta 45
Pregunta
The following is true of non-dihyrdopyridine CCB (select all that apply):
Respuesta
-
Can treat A-fib
-
Can be effective in proteinuria reduction.
-
Have a depressive effect on cardiac contractility and conduction
-
Should be avoided in patients who are taking beta blockers
Pregunta 46
Pregunta
T or F. Verapamil has the strongest inotropic effect of the non-dihyrdopyridine CCB and should be avoided in patients with Heart Failure.
Respuesta
- True
- False
Pregunta 47
Pregunta
Verapamil can interact with the following (select all that apply):
Respuesta
-
Simvastatin
-
Lithium
-
Amiodarone
-
Codeine
-
Spironalactone
Pregunta 48
Pregunta
T or F. Beta blockers are 1st line in the treatment of HTN.
Respuesta
- True
- False
Pregunta 49
Pregunta
Cardio-selective beta-blockers include (select all that apply):
Respuesta
-
Atenolol
-
Metropolol
-
Coreg
-
Propranolol
-
Bisoprolol
-
Esmolol
-
Acebutolol
Pregunta 50
Pregunta
Propranolol is a non-cardioselective beta-blocker that is used for symptom management with which endocrine issue:
Respuesta
-
Hypothyroidism
-
Hyperthyroidism
Pregunta 51
Pregunta
T or F. CCB and Beta-blockers can used for prophylactic treatment of migraines.
Respuesta
- True
- False
Pregunta 52
Pregunta
T or F. Beta-blockers are superior protection against stroke.
Respuesta
- True
- False
Pregunta 53
Pregunta
An example of mixed alpha and beta blocker is:
Respuesta
-
Carvedilol (coreg)
-
Nadolol
-
Atenolol
-
Propranolol
Pregunta 54
Pregunta
What is major consideration when prescribing a beta-blocker in a patient with DM?
Respuesta
-
It can mask hypogylcemia
-
It can cause tachycardia
-
Can improve blood glucose
-
Protects against strokes
Pregunta 55
Pregunta
In a patient with decompensated bronchospastic disease with stable angina, the NP should prescribe:
Respuesta
-
A beta-blocker
-
A cardio-selective dihydropyridine
-
ACEI
-
Aspirin
Pregunta 56
Pregunta
S/E of beta-blockers can include (select all that apply):
Respuesta
-
Hypotension
-
Bradycardia
-
Fatigue
-
Depression
-
2nd and 3rd degree AV Block
-
Angioedema
Pregunta 57
Pregunta
T or F. Discontinuation of beta-blockers needs to occur over a few weeks.
Respuesta
- True
- False
Pregunta 58
Pregunta
Clonodine belongs to which class of anti-hypertensives?
Respuesta
-
ACEI
-
DRI
-
Beta-blockers
-
Centrally Acting Agents
Pregunta 59
Pregunta
Centrally acting agents can be used to treat which condition in pediatric patients.
Respuesta
-
Depression
-
Dry Mouth
-
ADHD
-
Dizziness
Pregunta 60
Pregunta
Possible Adverse Reactions to Centrally Acting Agents includes (select all that apply):
Respuesta
-
Fatigue
-
Dry mouth
-
Lightheadedness
-
Rash
-
Hypoglycemia
-
Bradycarida
Pregunta 61
Pregunta
T or F. Patients wanting to come off of clonidine need to be tapered due to risk for rebound HTN.
Respuesta
- True
- False
Pregunta 62
Pregunta
Methyldopa is indicated in which population?
Respuesta
-
Elderly
-
Pregnant women
-
Adolescents
-
African Amercians
Pregunta 63
Pregunta
A contraindication for Methyldopa is:
Respuesta
-
Kidney Disease
-
DM
-
CHF
-
Active Hepatic Disease
Pregunta 64
Pregunta
T or F. The MOA of methyldopa is it stimulates the Alpha 2 adrenergic receptors.
Respuesta
- True
- False
Pregunta 65
Pregunta
Prazosin a peripherally acting agent, while not a 1st line anti-hypertensive is effective in treating:
Respuesta
-
Anigna
-
HF
-
PTSD and associated night terrors
-
The elderly
Pregunta 66
Pregunta
T or F. Doxazosin should be taken at bedtime due to risk for postural lightheadedness.
Respuesta
- True
- False
Pregunta 67
Pregunta
The following should be avoided in pregnancy (select all that apply):
Respuesta
-
ACEI
-
ARBS
-
Direct Renin Inhibitors
-
Sprionolactone
-
Eplerenone
-
Methyldopa
Pregunta 68
Pregunta
In addition to methyldopa, which two other drugs are commonly used for HTN in pregnancy:
Respuesta
-
Lisinopril and Clonidine
-
Norvasc and Tekturna
-
Losartan and Spironalactone
-
Labetalol and Nifedipine
Pregunta 69
Pregunta
T or F. Betablockers are not recommended as initial therapy in children.
Respuesta
- True
- False
Pregunta 70
Pregunta
Which class of diuretics is used in fluid volume overload?
Respuesta
-
Thiazide
-
Potassium Sparing
-
Loop
-
HCTZ
Pregunta 71
Pregunta
When using Digoxin to treat Stage C Heart Failure, the NP knows which medicine can upset the narrow therapeutic index of the drug:
Respuesta
-
Diltiazem
-
Benazapril
-
Spironolactone
-
ASA
Pregunta 72
Pregunta
T or F. Digoxin increases myocardial contractility.
Respuesta
- True
- False
Pregunta 73
Pregunta
The therapeutic index for digoxin is:
Respuesta
-
0.10-0.20
-
0.1-0.3
-
0.5-0.9
-
0.3-0.8
Pregunta 74
Pregunta
T or F. Low K+ and Mg+ and high Ca+ increase the risk for digoxin toxicity.
Respuesta
- True
- False
Pregunta 75
Pregunta
Signs of toxicity to tell your patient who is taking digoxin are (select all that apply):
Respuesta
-
Seeing green and yellow halos
-
Delirium and confusion
-
Insomina
-
Weakness
-
Dry Mouth
Pregunta 76
Pregunta
HMG CoA reductase inhibitors are more commonly known as:
Respuesta
-
Statins
-
ARBS
-
Fibrates
-
Omega 3 Fatty Acids
Pregunta 77
Pregunta
The primary treatment goal of statins is to:
Respuesta
-
Increase LDL
-
Increase HDL
-
Decrease LDL
-
Increase Liver Function
Pregunta 78
Pregunta
T or F. It is fine for pregnant women or women planning to become pregnant to take simvastatin.
Respuesta
- True
- False
Pregunta 79
Pregunta
Which group of patients could benefit from statins:
Respuesta
-
Age 21 years> with an LDL>190
-
Patients with active liver disease
-
African American Females
-
Smokers
Pregunta 80
Pregunta
Statins should be discontinued if which lab value if it is >3x the normal value?
Respuesta
-
GGT
-
TSH
-
ALT
-
WBG
Pregunta 81
Pregunta
There is an increased risk of myopathy/rhabdomyolysis with which drug interactions:
Respuesta
-
gemfibrozil and statins
-
Statins and ACEI
-
Beta-blockers and Statins
-
Calcium channel blockers and statins
Pregunta 82
Pregunta
What lab level should be checked if a patient complains of muscle pain while taking a statin?
Respuesta
-
Vitamin D
-
B12
-
Platelets
-
Hgb
Pregunta 83
Pregunta
T or F. New onset DM is less common with pravastatin and pitavastatin.
Respuesta
- True
- False
Pregunta 84
Pregunta
Before changing a patient to new statin. the NP should ensure the patient has been adhering to their current statin medication by checking:
Respuesta
-
BP
-
CMP
-
Lipid panel
-
Fasting Blood Glucose
Pregunta 85
Pregunta
T or F. Short acting statins like Lovastatin should be taken at bedtime?
Respuesta
- True
- False
Pregunta 86
Pregunta
Lower doses of rosuvastatin is recommended in which population?
Respuesta
-
African Americans
-
Latinos
-
Canadians
-
Asians
Pregunta 87
Pregunta
One of the advantages of zetia over statins is:
Respuesta
-
You can give it to children younger than 10 y/o
-
It is indicated for use in pregnant women
-
It raises HDL
-
It raises LDL
Pregunta 88
Pregunta
T or F. The MOA of Zetia is the inhibition of cholesterol at the small intestine.
Respuesta
- True
- False
Pregunta 89
Pregunta
PCSK9 Inhibitors like Alirocumab and Evolocumab:
Respuesta
-
Are inexpensive
-
Are powerful at lowering LDL
-
Are less effective than statins
-
Can be taken orally
Pregunta 90
Pregunta
T or F. Alirocumab must be stored in the refrigerator.
Respuesta
- True
- False
Pregunta 91
Pregunta
T or F. PCSK9 inhibitors should be avoided in pregnancy.
Respuesta
- True
- False
Pregunta 92
Pregunta
What is one way to decrease the flushing side effect that can come with the use of Niacin?
Respuesta
-
Take it with milk
-
Take it at bedtime
-
Take 325mg ASA 30 minutes before
-
Take it on an empty stomach
Pregunta 93
Pregunta
T or F. Fibrates are only taken to reduce high triglycerides.
Respuesta
- True
- False
Pregunta 94
Pregunta
Gemfibrozil and Fenofibrate should not be taken with statins because:
Respuesta
-
Increased risk for heart palpitations
-
Increase risk for drug interactions
-
They potentiate each other
-
Causes flushing
Pregunta 95
Pregunta
Fibrates should be avoided in (Select all that apply)
Respuesta
-
Hepatic Impairment
-
Lactation
-
Pregnancy
-
In children over age 10 with Triglycerides >500
Pregunta 96
Pregunta
T or F. Statins can be used in children older than age ten with an elevated LDL.
Respuesta
- True
- False
Pregunta 97
Pregunta
Omega 3 Fatty Acids are helpful in reducing:
Respuesta
-
Trigylcerides
-
WBG
-
HDL
-
Muscle Pain
¿Quieres crear tus propios Tests gratis con GoConqr? Más información.