REGIS NU641 ADV CLINICAL
PHARMACOLOGY MIDTERM EXAM
QUESTIONS WITH CORRECT
ANSWERS
Question :Patients that are at highest risk for abruptly
stopping a beta blocker are those with
Correct answer:Angina, Coronary Artery Disease, &
Migraines
Question :The medication that helps the imbalance between
myocardial oxygen supply and myocardial oxygen demand in the myocardium by increasing the myocardial oxygen supply
Correct answer:Angiotensin-converting enzyme (ACE)
inhibitors
Question :Roles of Angiotensin-converting enzyme (ACE)
inhibitors in DM patients
Correct answer:improves insulin sensitivity
improves renal hemodynamics reduce production of angiotensin II
Question :The pathological change that takes place in HF that
is not addressed by ACE inhibitors
Correct answer:Activation of the sympathetic nervous system
that increases heart rate and preload
Question :Reason why nitro glycerin tablets "do not work
well" in patient with hyperlipidemia and angina age
Correct answer:blunted coronary artery dilation due to
calcified plaque
Question :Clinical judgement in prescribing includes
Correct answer:factoring in the cost to the patient of the
medication prescribed
Question :Prior to prescribing an ACE inhibitor the NP
should access for
Correct answer:decreased renal function
Question :First-line pharmacologic therapy for hyperlipidemia
Correct answer:statins
Question :When is consultation with or referral to a
cardiologist appropriate?
Correct answer:Any end-organ damage, direct effects on
lifestyle, or inability to perform the tasks of daily living
Question :If not chosen as the first drug in hypertension
treatment, which drug class should be added as a second step because it will enhance the effects of most other agents?
Correct answer:Diuretics
Question :A 65-year-old patient who has been on a lipid-
lowering diet and is using plant sterol margarine daily for the past three months. Her LDL is 135mg/dL. What would an appropriate treatment for them be?
Correct answer:Determine their other risk factors
Question :Calcium Channel Blocker's helps control blood
pressure because it
Correct answer:promote smooth muscle dilation by stopping
intracellular entry of calcium into the cell, which increases contractility, which increase the activity of the NA+/K+/ATPase pump indirectly
Question :Patient education regarding prescribed medications
includes
Correct answer:discussion of expected adverse drug reactions
Question :Patient education when prescribing clopidogrel
includes which of the following statements?
Correct answer:Do not take any herbal products without first
discussing this with the provider
Question :When starting a patient on a statin, what would
education include?
Correct answer:If they stop the medication, their lipid levels
will return to pretreatment levels; medication is a supplement to diet therapy and exercise; and if they have muscle aches or pain, they should contract their provider