DT is a 74 YO male with dyslipidemia and prostate enlargement. His only medication is Flomax 0.4 mg daily. He states that he cannot tolerate pravastatin due to muscle aches and joint pain. His cholesterol panel has the following values: Total CH 188 mg/dL, HDL 36 mg/dL, and TG 338 mg/dL. HR 82, BP 129/72 Calculate the patient's LDL cholesterol

UN is 73 YO male he present to a pharmacy with Rx for Mevacor 40 mg PO with dinner. WOTF is an appropriate generic substitution for Mevacor?

A patient experiencing a hypertensive emergency should have blood pressure lowered according to which criteria?

Which medication is appropriate for treatment of hypertension in pregnancy (hcg+)? SATA

JC is a 36-year-old pregnant woman with an active DVT. She takes no other medications and has no significant past medical history. Which agent is the best choice for the initial treatment of her DVT?

KP is 72-year-old woman who presents to the emergency department and reports hematuria for the past 2 days. The patient’s INR is found to be 7.2 and KP reports she may have accidentally taken old 10 mg warfarin tablets instead of her currently prescribed 5 mg tablets for the past week. Which of the following agents would be the most appropriate reversal agent to be used in the case of warfarin overdose?

Which agent has a delayed onset of anticoagulant effect?

A 46 YO patient comes to the clinic for routine follow-up. The patient has HTN and is a smoker. The ASCVD risk score for this patient is 8.5%. Laboratory assessment reveals the following: Na+ 135 mEq/L, K+ 4.5 mEq/L, SCr 2.1 mg/dL, AST 189 units/L, ALT 217 units/L, A1C 6.2%, LDL 140 mg/dL. WOTF would be the best recommendation to treat according to the ACC/AHA Blood Cholesterol Guidelines?

WOTF is the generic name of Repatha?

PS. Review all the brands and generic names for dyslipidemia agents!

Which statin is the least potent?

What effects can Lopid have on lipids? (Select ALL that apply.)

SC comes to the clinic for a follow-up visit for his hypertension and diabetes management. She has been taking four medications to control his blood pressure for a long time. Today, the pharmacist notices a butterfly rash across SC's nose and upper cheeks. Which of the following medications is most likely to cause this side effect?

Which of the following lifestyle modifications is important for a patient with chronic hypertension?

P.S review the lifestyle modifications (how much should pt exercise, alcohol limits, DASH diet) in Dr. Patel's handout

ST, A 55-year-old male, has a past medical history significant for hypertension, hypercholesterolemia, chronic kidney disease, and peripheral arterial disease. What is JG's goal BP according to 2017 AHA/ACC guidelines?

What are the individual medicines included in the combination drug Vytorin?

A patient's triglycerides were recorded at 540 mg/dL. WOTF agents will help to lower triglycerides? (Select all that apply.)

What effects do statins have on cholesterol values? (Select ALL that apply.)

WOTF is the generic name for Livalo?

What other names are niacin known by? (Select ALL that apply.)

TE has systolic heart failure with an ejection fraction of 33%. Which of the following medications could potentially worsen his heart failure condition?

Treating hypertension will reduce the risk of which of the following? (select all that apply)

A 56-year-old female has diabetes and COPD. She is already using a thiazide diuretic, a calcium channel blocker, and an angiotensin receptor blocker but her blood pressure remains elevated at a range of 143-153/83-93 mmHg. She will be started on beta-blocker therapy. Which of the following drugs is most appropriate?

AH is a 34-year-old female with a history of type 2 diabetes, hypertension, and heart failure. She was recently initiated on metoprolol succinate. What important counseling point should AH receive about metoprolol?

WOTF statin regimens are considered high-intensity statin therapy? (Select ALL that apply.)

PS. Also review who needs to be on high-intensity

AS 48 YO female her PCP prescribed her Lovaza what should be dispensed with caution to a patient with this allergy:

Which lipid-lowering therapy is contraindicated in Pts w/ a history of gallstones?

Control of the following conditions will help to improve PAD?

Which of the following medication has the best efficacy for claudication symptoms in PAD?

What is the Cilostazol dose when co-administer with Omeprazole?

Can you explain why?

What benefit can Cilostazol provide for patients with PVD?

What labs do you use to monitor efficacy of Heparin?

Which of these medications cause a major drug drug interaction with warfarin?

Which medications should be avoided with Rivaroxaban? SATA

What is the duration of anticoagulation for a patient with 1st episode proximal DVT that is provoked by a surgery?

A patient has been recently diagnosed with DVT. The team wants to start him on Apixaban. Which of the following is true?

The lower the INR, ...

Which of the following medications can be used in place of Heparin in patient who developed Heparin Induced Thrombocytopenia? SATA

AA presents to the clinic with unilaterial right leg swelling around the ankle, tenderness for two days after his long-hour flight from Asia. His d-dimer test is elevated. What is the most probable diagnosis?

Which of the following medication is not safe to be used during pregnancy? SATA

Ms K is a 35 years old male with a history of recurrent DVT (first episode in 2019 and second episode in 2020). He was started on Apixaban after first DVT with some adherence issues and switched to warfarin after the 2nd DVT for closer monitoring. Today he presents to the clinic with INR of 1.8. What is his therapeutic INR goal?

Which of the following are modifiable risk factors of hypertension? SATA

P.s. review slide 42 in Dr. Patels handout for risk factors

Mr. Sunny is a 54 years old male in your hypertension clinic. He comes to the followup appointment and is excited to know that he has lost 2 kg after eating healthier and exercise. What is the expected reduction in systolic bp with this weight drop?

A 40 years old Asian female with stage 1 hypertension for over 1 year and a ASCVD risk of 5%. The physician would like to start her on an antihypertensive. She also has a history of diabetes. Which medication class will be most beneficial?

P.S review TBL case and compelling indications for each antihypertensive med class

73How would you classify a patient whose blood pressure are as followed:

Reading 1: 128/ 73 mmHg

Reading 2: 124/68 mmHg

PS. Please review the stage criteria to classify hypertension