Pharmacotherapy Of Hypertension (Htn)

42 Questions | By Caitlinb | Last updated: Mar 21, 2022 | Total Attempts: 604

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Pharmacotherapy Of Hypertension (Htn) - Quiz

Hypertension is a very serious case if not managed as it caused a lot of death daily. This condition is a result of blood having high force against the artery and can cause even heart attacks. As a pharmacist, you need to know how to perform pharmacotherapy on a patient with high blood pressure. The quiz below will test out just how much you understood.

Questions and Answers

1.

From 1999 to 2000 HTN was slightly more prevalent in men (30.1%) than women (27.1%). However, the prevalence is increasing in women and remaining unchanged in men. Men have a higher prevalence of HTN than women until age ___.
- A.
  
  35
- B.
  
  45
- C.
  
  55
- D.
  
  65
2.

HTN prevalence is highest in ____________ (43% males, 44% females) when compared to non-Hispanic whites (29%).
- A.
  
  Hispanics
- B.
  
  African-Americans
- C.
  
  Asians
- D.
  
  Native Americans
- E.
  
  McDonaldicans
3.

What is the major cause of essential HTN?
- A.
  
  Chronic kidney disease
- B.
  
  Genetics
- C.
  
  Sympathetic overactivity
- D.
  
  Increased renin
- E.
  
  Unknown
4.

What are some causes of secondary hypertension? Select all that apply.
- A.
  
  Cushing's syndrome
- B.
  
  Chronic kidney disease
- C.
  
  Pheochromocytoma
- D.
  
  Drug-induced
- E.
  
  COPD
5.

What are some drugs that cause secondary hypertension? Select all that apply.
- A.
  
  NSAIDS
- B.
  
  Erythropoietin
- C.
  
  Gemfibrozil
- D.
  
  Oral contraceptives
- E.
  
  Ambien
6.

What is the difference from hypertensive urgency to an emergency? Select all that apply.
- A.
  
  Urgency does not cause organ damage
- B.
  
  An example of urgency is unstable angina, while an emergency is an acute MI.
- C.
  
  You can treat an emergency is nifedipine IR.
- D.
  
  Perioperative HTN and optic disk edema are examples of urgency.
- E.
  
  You can treat urgency with nifedipine IR.
7.

Hemodynamically, blood pressure is a product of ____________. Select the two that best apply.
- A.
  
  Blood flow
- B.
  
  Stroke volume
- C.
  
  Peripheral resistance
- D.
  
  Atrial natriuretic peptide
- E.
  
  Cardiac output
8.

A patient presents with a BP of 140/85. This patient is classified as having:
- A.
  
  Pre-hypertension
- B.
  
  Normal
- C.
  
  Stage I HTN
- D.
  
  Stage II HTN
9.

Can you diagnose HTN based on a single elevated blood pressure reading?
- A.
  
  Yes
- B.
  
  No
10.

The proposed mechanisms behind high sodium intake and blood pressure include an increase in intracellular calcium, insulin resistance, a paradoxical rise in atrial natriuretic peptide, and other pressor effects.
- A.
  
  True
- B.
  
  False
11.

Hypertension is a significant cause of heart failure, but not of endstage renal disease.
- A.
  
  True
- B.
  
  False
12.

Patient failing to achieve goal blood pressure despite maximum doses of two antihypertensive agents should be carefully screened for resistant hypertension.
- A.
  
  True
- B.
  
  False
13.

Hypertensive patients are usually symptomatic.
- A.
  
  True
- B.
  
  False
14.

A stethoscope placed over the brachial artery in the antecubital fossa identifies the first and last audible ________, which should be taken as systolic and diastolic pressure, respectively.
- A.
  
  S3
- B.
  
  Korotkoff sounds
- C.
  
  Split S2
- D.
  
  Wernicke sounds
15.

The DASH trial demonstrated that a diet high in fruits, vegetables, and low-fat dairy products, along with a reduced intake of total and saturated fat, significantly reduced blood pressure in as little 8 weeks.
- A.
  
  True
- B.
  
  False
16.

Which drug is twice as potent as hydrochlorothiazide?
- A.
  
  Indapamide
- B.
  
  Chlorthalidone
- C.
  
  Furosemide
- D.
  
  Bumetanide
- E.
  
  Doxazosin
17.

Which aldosterone antagonist is contraindicated in patients with estimated creatinine clearance less than 50mL/minute or serum creatinine greater than 1.8mg/dL in women or greater than 2mg/dL in men?
- A.
  
  Spironolactone
- B.
  
  Eplerenone
- C.
  
  Doxazosin
- D.
  
  Verapamil
- E.
  
  Quinapril
18.

A patient presents with a blood pressure of 55 bpm. Which drug(s) should you use cautiously with this patient?
- A.
  
  Hydrochlorothiazide
- B.
  
  Metoprolol
- C.
  
  Amlodipine
- D.
  
  Metoprolol and Amlodipine
- E.
  
  Metoprolol and Verapamil/Diltiazem
19.

Which drugs can increase potassium? Select all that apply.
- A.
  
  Hydrochlorothiazide
- B.
  
  Spironolactone
- C.
  
  Benazepril
- D.
  
  Valsartan
- E.
  
  Propranolol
20.

Which drug can cause hyperkalemia and gynecomastia?
- A.
  
  Chlorthalidone
- B.
  
  Carteolol
- C.
  
  Terazosin
- D.
  
  Spironolactone
21.

Which drugs have a compelling indication for diabetes (in addition to CCBS and chlorthalidone)?
- A.
  
  ACEs and ARBs
- B.
  
  Loop Diuretics
- C.
  
  Aldosterone Antagonists
- D.
  
  Alpha blockers
22.

Abrupt discontinuation of these drugs causes rebound HTN.
- A.
  
  Indapamide and Atenolol
- B.
  
  Fosinopril and Atenolol
- C.
  
  Irbesartan and Clonidine
- D.
  
  Atenolol and Indapamide
- E.
  
  Atenolol and Clonidine
23.

Which drugs do not work well alone in the treatment of HTN and should be used cautiously in patients with renal insufficiency.
- A.
  
  ACE inhibitors
- B.
  
  Potassium Sparing Diuretics
- C.
  
  Loop Diuretics
24.

51% of patients with CV disease die of:
- A.
  
  Stroke
- B.
  
  HBP
- C.
  
  Coronary Heart Disease
- D.
  
  HF
25.

CVD risk factors include: (select all that apply.)
- A.
  
  Dyslipidemia
- B.
  
  Cigarette smoking
- C.
  
  Microalbuminuria or estimated GFR <60 mL/min
- D.
  
  DM
- E.
  
  Age (older than 35 for men, 45 for women)