556 - Pharmacotherapy Ii - Exam Ii - Hypertension (Compelling Indications & Comorbid Conditions)

Front 1

For a patient having hypertension who has, as a “compelling indication,” had a prior myocardial infarction, what classes of antihypertensive medications are indicated (list in order of priority)?

Back 1

ACE inhibitor (or ARB), Beta-Blocker, & Aldosterone Antagonist

Front 2

For a patient having hypertension who has, as a “compelling indication,” chronic kidney disease, what classes of antihypertensive medications are indicated?

Back 2

ACE inhibitor or ARB

Front 3

For a patient having hypertension who has, as a “compelling indication,” had a stroke, what classes of antihypertensive medications are indicated?

Back 3

Either an ACE inhibitor or an ARB, plus a diuretic

Front 4

For a patient having hypertension who has, as a “compelling indication,” heart failure, what is the most important class of antihypertensive medication they should be taking?

Back 4

Either an ACE inhibitor or an ARB is the most important

Front 5

Which class of antihypertensive medication is not typically used in patients having heart failure? [Which two agents of this class are the exceptions?]

Back 5

Calcium Channel Blocker (CCB) [Except amlodipine or felodipine.]

Front 6

For a patient having hypertension who has, as a “compelling indication,” diabetes, what classes of antihypertensive medications are indicated (list in order of priority)?

Back 6

ACE-I or ARB, CCB, Diuretic, Beta-Blocker

Front 7

For patients who have angina as a comorbid condition, what antihypertensive medications may have favorable effects?

Back 7

Beta-Blockers or CCBs

Front 8

For patients prone to atrial tachycardia or fibrillation, what classes of antihypertensive medications may have favorable effects?

Back 8

Beta-Blockers, Non-DHP CCBs, & ACE inhibitors or ARBs

Front 9

For patients who have cyclosporine-induced hypertension, what classes of antihypertensive medications are preferred?

Back 9

CCBs & Thiazide Diuretics

Front 10

For patients who have dyslipidemia as a comorbid condition, what class of antihypertensive medication may help reduce lipids (or at least not increase them)?

Back 10

Alpha-1 Antagonists

Front 11

For patients who have BPH (benign prostatic hyperplasia) as a comorbid condition, what class of antihypertensive medication may have favorable effects?

Back 11

Alpha-1 Antagonists

Front 12

For patients who have essential tremor as a comorbid condition, what class of antihypertensive medication may have a favorable effect?

Back 12

Non-Cardioselective Beta-Blocker (propranolol)

Front 13

For patients who have hyperthyroidism as a comorbid condition, what class of antihypertensive medication may have favorable effects?

Back 13

Beta-Blockers

Front 14

For patients who have migraine as a comorbid condition, what classes of antihypertensive medications may have favorable effects?

Back 14

Non-Cardioselective Beta-Blockers or Non-DHP CCBs

Front 15

For patients who have osteoporosis as a comorbid condition, what class of antihypertensive medication may be beneficial by promoting calcium retention?

Back 15

Thiazide Diuretics

Front 16

For patients who have perioperative hypertension, what class of antihypertensive medication is preferred?

Back 16

Beta-Blockers

Front 17

For patients who have bronchospastic disease (asthma) as a comorbid condition, what class of antihypertensive medication may exacerbate their breathing difficulties?

Back 17

Beta-Blockers

Front 18

For patients who have depression as a comorbid condition, what class of antihypertensive medication may worsen their depression?

Back 18

Beta-Blockers

Front 19

For patients who have dyslipidemia as a comorbid condition, what classes of antihypertensive medications may increase their lipid levels?

Back 19

Beta-Blockers & Diuretics

Front 20

For patients who have diabetes, what class of antihypertensive medication may have unfavorable effects (such as increased glucose levels and masking of the signs of hypoglycemia)?

Back 20

Beta-Blockers

Front 21

For patients who have gout as a comorbid condition, what class of antihypertensive medication may worsen the condition by raising uric acid levels?

Back 21

Diuretics

Front 22

For patients who have heart failure, what classes of antihypertensive medications may worsen that condition?

Back 22

Beta-Blockers (except carvedilol, metoprolol, or bisoprolol) & CCBs (except amlodipine or felodipine)

Front 23

For patients having coronary artery disease, what class of antihypertensive medication may heighten the risk of angina?

Back 23

Direct Vasodilators