Question

Case 6: Terry, a 55-year-old male Subjective • The patient presents today for a follow-up regarding hypertension, chronic kidney disease, hyperuricemia, and type 2 diabetes • He works as a truck driver and lives a sedentary lifestyle • His medical history includes gout, hyperlipidemia, and low back pain Medications: Glucophage (metformin) 1,000mg. Diovan (valsartan) 80mg, Zyloprim (allopurinol) 200mg, Glucotrol (glipizide) 10mg. Welchol (colesevelam) 3750mg Objective • Vitals: HR 88, BP 140/85, RR 12. Temp 98.6 F 51. Which of the patient's medications is an anti-lipidemic agent? a Diovan b. Metformin c. Glucotrol d. Welchol 52. Which of the patient's medications works by preventing angiotensin II from reaching its receptors, thus causing vasodilation? a. Diovan b. Zyloprim c. Glucotrol d. Welchol 53, Zyloprim (allopurinol) is used for the prevention of uric acid accumulation in the body, to help reduce the risk of acute gout flares. Which mechanism of action best describes that of Zyloprim? a. Increases urinary excretion of gout b. Prevents formation of uric acid in the body c. Breaks down uric acid in the body d. Reduces the degree of inflammation 54. What type of antidiabetic agent is Glucophage? a. Sulfonylurea b. Biguanide c. Thiazolidinedione d. Alpha-glucosidase inhibitor 55. Terry mentions that he used to be on a different medication before switched to Diovan. What type of antihypertensive agent is notoriously known for causing a dry cough? a. Beta-blocker b. Calcium channel blocker C. ACE Inhibitor d. Thiazide diuretic Case 7: Asmita, a 13-year-old female III

Answer 1

Case 6

51.Diovan is an antihypertensive drug to reduce the elevated blood pressure

Metformin and Glucotrol are anti diabetic drugs

Welchol acts in lowering the cholesterol and high blood sugar levels .It is classified as bile acid binding resin (the bile acid are removed ,then the cholesterol in the body is used for its production in liver.Hence the cholesterol decreases)

Ans:d.Welchol

52.Diovan is a drug which after consuming leading to blocking the action of angiotensin 2 receptor. This will stimulate the aldosterone mechanism and leading to dilation of blood vessels as a result blood pressure reduces

The Glucotrol will increase the release of insulin, if insulin is increased it will decrease blood glucose in blood

Zylorim will help to reduce the excess uric acid through urine

Welchol is a lipid lowering drug

Ans:a.Diovan

53.The zyloprim works by blocking the action of xanthine oxidase which can lead to decrease in production of uric acid in blood and eliminate by renal system as urine

Ans:b.prevents formation of uric acid in body

54.Glucophage belongs to the group of biguanides

Glipizide belongs to sulphonylurea drug

Thiazoledinedione are heterocyclic compounds

Alpha glucosidase inhibitor functions directly on carbohydrates conversion to glucose

Ans:b. Biguanide

55.Dry cough is generally caused by ACE inhibitors.

Wheezing ,respiratory problems like dyspnea can occur with beta blockers

Calcium channel blockers does not cause any respiratory issues

Thiazide diuretic increases urine output

Ans:c.ACE inhibitor