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NURP-533-Week 1 Exam Study Guide with Complete Solutions

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NURP-533-Week 1 Exam Study Guide with Complete Solutions Primary HTN - Answer-Increase in cardiac output and peripheral vascular resistance Not due to an underlying disease; due to risk factors Secondary HTN - Answer-Due to and underlying disease: OSA,aldosteronism, renal disease, excess catec...

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  • October 6, 2024
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NURP-533-Week 1 Exam Study Guide
with Complete Solutions

Primary HTN - Answer✔✔-Increase in cardiac output and peripheral vascular resistance




Not due to an underlying disease; due to risk factors


Secondary HTN - Answer✔✔-Due to and underlying disease: OSA,aldosteronism, renal disease, excess

catecholamines, coarction of the heart, Cushings' syndrome, drug side effects, diet side effects,

hypothyroidism, hyperthyroidism


Renin-angiotensin-aldosterone system - Answer✔✔-Overactive RAAS leads to retention of sodium and

water which then leads to increased vascular resistance




This can ultimately lead to arterial remodeling


* Stages of HTN * - Answer✔✔-Normal BP: SBP < 120 and a DBP < 80




Stage 1: SBP 130-139 or DBP of 80-89




Stage 2: SBP > 140 or DBP > 90



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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


HTN Diagnosis - Answer✔✔-Two elevated BP levels on two separate occasions (usually 2 weeks apart)




If BP readings are contradictory, a 24-hour ambulatory BP test may be done




Initial work-up includes: H&P, CBC, UA, glucose, BUN, Cr, electrolytes, ECG, lipids, TSH, (CMP)


Obesity Screening in Adolescents - Answer✔✔-The USPSTF recommends that clinicians screen for

obesity in children and adolescents 6 years and older and offer or refer them to comprehensive,

intensive behavioral interventions to promote improvements in weight status.


Obesity Definition - Answer✔✔-BMI greater than or equal to 30


Weight Gaining Medications - Answer✔✔-Diabetes Rx: glipizide, insulin




Antidepressants, Neuroleptics, and Seizure Rx: TCAs, amitriptyline, MAOIs, SSRI's, Mirtazapine, Lithium,

clozapine, olanzapine, risperidone, quetiapine, valproic acid, carbamazepine, lyrica, gabapentin




Antihistamines: cyproheptadine




Hormonal Rx




Page 2/16

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Cardiac Rx: beta blockers




* Topamax may make you lose weight *


Drug Therapy Initiation for Obesity - Answer✔✔-Add on lifestyle management for those with a BMI

equal to or greater than 30 OR those with a BMI equal to or greater than 27 with co-morbid condition

such as DM, high cholesterol, or HTN


Dyslypidemia - Answer✔✔-Abnormal levels of serum lipoproteins


Hypercholestremia - Answer✔✔-Elevated levels of LDL


Hypertriglyceridemia - Answer✔✔-Elevated levels of VLDL


Atherosclerosis - Answer✔✔-ASCVD risk assessment should be completed before starting

pharmacological risk factors




Exercise: 150 minutes/week of moderate intensity exercise or 75 minutes/week of vigorous exericse




First line therapy for patients with T2DM is metformin




Aspirin therapy should be used sparingly




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