REGIS NU641 ADV CLINICAL PHARMACOLOGY
MIDTERM EXAM QUESTIONS WITH CORRECT
ANSWERS
Angina, Coronary Artery Disease, & Migraines CORRECT ANSWER Patients that are
at highest risk for abruptly stopping a beta blocker are those with
Angiotensin-converting enzyme (ACE) inhibitors CORRECT ANSWER The medication
that helps the imbalance between myocardial oxygen supply and myocardial oxygen
demand in the myocardium by increasing the myocardial oxygen supply
improves insulin sensitivity
improves renal hemodynamics
reduce production of angiotensin II CORRECT ANSWER Roles of Angiotensinconverting enzyme (ACE) inhibitors in DM patients
Activation of the sympathetic nervous system that increases heart rate and preload
CORRECT ANSWER The pathological change that takes place in HF that is not
addressed by ACE inhibitors
blunted coronary artery dilation due to calcified plaque CORRECT ANSWER Reason
why nitro glycerin tablets “do not work well” in patient with hyperlipidemia and angina
age
factoring in the cost to the patient of the medication prescribed CORRECT ANSWER
Clinical judgement in prescribing includes
decreased renal function CORRECT ANSWER Prior to prescribing an ACE inhibitor the
NP should access for
statins CORRECT ANSWER First-line pharmacologic therapy for hyperlipidemia
Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of
daily living CORRECT ANSWER When is consultation with or referral to a cardiologist
appropriate?
Diuretics CORRECT ANSWER 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?
Determine their other risk factors CORRECT ANSWER 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?