Midterm Exam: NR 577 NR577

Midterm Exam: NR 577 / NR577

(Latest Update 2025 / 2026) Primary Care Management of Adolescents and Adults | Test Review Questions & Answers | Grade A | 100% Correct – Chamberlain

Question:

Depression

Answer:

Generally avoid beta blocker, central alpha-2 agonist

Question:

Gout

Answer:

Generally avoid loop or thiazide diuretic

• / 4

Question:

Hyperkalemia

Answer:

Generally avoid aldosterone antagonist, ACE inhibitor, ARB, renin inhibitor

Question:

Hyponatremia

Answer:

avoid thiazide diuretics

Question:

renovascular disease

Answer:

avoid ACE, ARB renin inhibitors

• / 4

Question:

Baseline Systolic BP >15 mmHg above goal

• Drug Therapy

Answer:

Long-acting ACE inhibitor or ARB + long-acting dihydropyridine calcium channel blocker ACE inhibitor or ARB +thiazide diuretic

Question:

Uncontrolled on 2 Antihypertensive Medications

Answer:

ACE inhibitor or ARB in + long-acting dihydropyridine calcium channel blocker + thiazide-like diuretic (chlorthalidone preferred) If a long-acting dihydropyridine calcium channel blocker is not tolerated due to leg swelling, a non-dihydropyridine calcium channel blocker (ie, verapamil or diltiazem) may be used If a thiazide-like diuretic is not tolerated or is contraindicated, a mineralocorticoid receptor antagonist (ie, spironolactone or eplerenone) may be used If the above drug classes cannot be used due to intolerance or contraindication, a beta blocker, alpha blocker, or direct arterial vasodilators can be used

• / 4

Question:

Hypertensive Urgency & Emergency

Answer:

Severe hypertension is a common diagnosis. Blood pressure > 180/110 mmHg is considered severe and can be classified into one of two categories, hypertensive urgency (also referred to as hypertensive crisis) and hypertensive emergency. The difference between the two categories is based on impending or progressive target organ dysfunction.

Question:

Hypertensive urgency

Answer:

severe elevations in BP (180/120) without progressive target organ dysfunction.

Question:

Hypertensive urgency may be managed in the primary care office.

Answer:

severe headache shortness of breath epistaxis severe anxiety

• / 4