doc649 Forum Junior

Topics: 18 Posts: 61
| | 04/23/08 - 12:07 PM  
 
   
 
|   #1 |
Select the mechanism of action of the antihypertensive drug that would be the best choice to treat each of the following patients. (A) Antagonizes aldosterone receptors (B) Antagonizes β1-adrenergic receptors (C) Antagonizes β1- and β2-adrenergic receptors (D) Blocks α1-adrenergic receptors (E) Blocks angiotensin II formation (F) Blocks calcium influx into vascular smooth muscle and myocardium (G) Blocks distal convoluted tubule sodium and chloride reabsorption (H) Blocks loop of Henle sodium and chloride reabsorption (I) Directly relaxes smooth muscle (J) Stimulates α2-adrenergic receptors (K) Stimulates aldosterone formation (L) Stimulates angiotensin II formation 39. A 52-year-old man with a history of diabetes and hypertension presents to a new primary care provider. He currently uses insulin to control his diabetes and hydrochlorothiazide (HCTZ) to control his hypertension. On physical examination, he is an overweight man with no concerning findings, except for a blood pressure of 171/93 mm Hg. His creatine is 1.7 mg/dL with a urinalysis that shows proteinuria. His physician wants to add another antihypertensive in addition to his HCTZ. 40. A 63-year-old woman with a history of osteoporosis presents for a second opinion regarding hypertension management because she is worried about starting any medication that might worsen her osteoporosis. Her only medication is calcium supplements. She smokes 1 pack per day for 15 years. Her physical examination is normal, except for a blood pressure of 165/90 mm Hg. Laboratory work shows total serum calcium of 7.0 mg/dL and mild hypercalciuria. She wonders if an antihypertensive exists that would not cause her calcium to decrease further and that might even increase it.
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| doc649 Forum Junior

Topics: 18 Posts: 61
| | 04/23/08 - 12:10 PM  
 
   
 
|   #2 |
39.EE for ACEI 40. GG for HCTZ pl correct me if I'm wrong.......... again I do not have correct ans.. sorry....
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| liliaeliz Forum Elite
Topics: 30 Posts: 279
| | 04/23/08 - 01:19 PM  
 
   
 
|   #3 |

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| Ivonne Forum Guru

Topics: 51 Posts: 1,394
| | 04/23/08 - 08:45 PM  
 
   
 
|   #4 |
E G
___________________ If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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