Q: This medication can cause an increase in uric acid, and put a patient at risk of developing gout

Chlorthalidone - Thiazide diuretics cause HYPOkalemia and HYPERuricemia; Needs a BMP at baseline

Q: This drug class reduces peripheral vascular resistance. It's used as first line for HTN in patients with comorbidities such as CKD and HF

Angiotensin Converting Enzyme Inhibitors

Q: You prescibe a patient experiencing pulmonary edema this class of ototoxic medications that remove excess fluid but also remove essential amounts of K, Mag, and Na

Loop Diuretics - AE: hypovolemia, hypokalemia, hypomagnesemia, ototoxicity, hyperuricemia, hyponatremia

Q: A patient was unable to tolerate two treatments to control thier HTN. You prescribe an alpha agonist. What counseling would you give to this patient?

Take before bedtime and drink extra fluids - AE of Clonidine: constipation, dry mouth, sedation

Q: Which medication should be avoided in patients with asthma who also have HTN?

Propranolol - Uses: HTN + atrial fib, previous MI, stable IHD, HF

Question 1

According to ACC/AHA guidelines, what would be the goal BP for a 79 y/o patient?

Accepted Answer

<130/80

Question 2

A patient with a PMH of MI is coming in for thier annual physical exam. Their BP is 130/80. What medication would benefit this patient?

Accepted Answer

Metoprolol

Question 3

This medication can cause an increase in uric acid, and put a patient at risk of developing gout

Accepted Answer

Chlorthalidone - Thiazide diuretics cause HYPOkalemia and HYPERuricemia; Needs a BMP at baseline

Question 4

Which of the following labs should be obtained prior to starting a patient on lisinopril?

Accepted Answer

Cr - Initial

Question 5

This drug class reduces peripheral vascular resistance. It's used as first line for HTN in patients with comorbidities such as CKD and HF

Accepted Answer

Angiotensin Converting Enzyme Inhibitors

Question 6

You are counseling a male patient about thier potassium-sparing diuretic. Which of the following is an adverse effect he may experience

Accepted Answer

hyperkalemia, gynecomastia

Question 7

You prescibe a patient experiencing pulmonary edema this class of ototoxic medications that remove excess fluid but also remove essential amounts of K, Mag, and Na

Accepted Answer

Loop Diuretics - AE: hypovolemia, hypokalemia, hypomagnesemia, ototoxicity, hyperuricemia, hyponatremia

Question 8

Where in the kidney is the site of action of hydrocholothiazide?

Accepted Answer

DCT

Question 9

Where in the kidney is the site of action of Spironolactone?

Accepted Answer

Collecting Tubule

Question 10

A pt has BP readings from 130-138/80-88. He has a history of chronic kidney disease. Which of the following would be most appropriate to treat his hypertension?

Accepted Answer

Enalapril

Question 11

A patient was unable to tolerate two treatments to control thier HTN. You prescribe an alpha agonist. What counseling would you give to this patient?

Accepted Answer

Take before bedtime and drink extra fluids  - AE of Clonidine: constipation, dry mouth, sedation

Question 12

Which of the following antihypertensives is most likely to be beneficial in a patient with BPH?

Accepted Answer

Prazosin

Question 13

Which medication should be avoided in patients with asthma who also have HTN?

Accepted Answer

Propranolol  - Uses: HTN + atrial fib, previous MI, stable IHD, HF

Question 14

Which of the following CCB is an arteriolar vasodilator that has minimal impact to cardiac conduction?

Accepted Answer

Nifedipine

Question 15

A patient with a PMH of Reynauds who also suffers from HTN would benefit most from which class of medication

Accepted Answer

DHP CCB

Question 16

Which of the following medications should be avoided in patients with HTN who also have HFrEF

Accepted Answer

Diltiazem

Question 17

Protective properties of this medication make it an ideal choice for patients with CKD who have Stage I/Stage II HTN

Accepted Answer

Ace Inhibitors

Question 18

Which of the following medications is most likely to cause peripheral edema?

Accepted Answer

Amlodipine

Patient Management - Hypertension Test Review

2) A patient with a PMH of MI is coming in for thier annual physical exam. Their BP is 130/80. What medication would benefit this patient?

3) This medication can cause an increase in uric acid, and put a patient at risk of developing gout

4) Which of the following labs should be obtained prior to starting a patient on lisinopril?

5) This drug class reduces peripheral vascular resistance. It's used as first line for HTN in patients with comorbidities such as CKD and HF

6) You are counseling a male patient about thier potassium-sparing diuretic. Which of the following is an adverse effect he may experience

7) You prescibe a patient experiencing pulmonary edema this class of ototoxic medications that remove excess fluid but also remove essential amounts of K, Mag, and Na

8) Where in the kidney is the site of action of hydrocholothiazide?

9) Where in the kidney is the site of action of Spironolactone?

10) A pt has BP readings from 130-138/80-88. He has a history of chronic kidney disease. Which of the following would be most appropriate to treat his hypertension?

11) A patient was unable to tolerate two treatments to control thier HTN. You prescribe an alpha agonist. What counseling would you give to this patient?

12) Which of the following antihypertensives is most likely to be beneficial in a patient with BPH?

13) Which medication should be avoided in patients with asthma who also have HTN?

14) Which of the following CCB is an arteriolar vasodilator that has minimal impact to cardiac conduction?

15) A patient with a PMH of Reynauds who also suffers from HTN would benefit most from which class of medication

16) Which of the following medications should be avoided in patients with HTN who also have HFrEF

17) Protective properties of this medication make it an ideal choice for patients with CKD who have Stage I/Stage II HTN

18) Which of the following medications is most likely to cause peripheral edema?