Chapter 16: Drug Therapy for Hypertension

Chapter 16: Drug Therapy for Hypertension

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

BASIC CONCEPTS

 

1. Which term means high blood pressure from no known cause?

a.	Orthostatic hypertension
b.	Orthostatic hypotension
c.	Primary hypertension
d.	Secondary hypertension

 

 

ANS:  C

Primary hypertension is defined as hypertension for which there is no known cause but is associated with risk factors; 85% to 90% of cases of hypertension are of this type.

 

DIF:    Cognitive Level: Remembering        REF:   p. 254

 

2. What condition is a major cause of long-term high blood pressure?

a.	Atherosclerosis
b.	Bleeding disorders
c.	Chronic liver disease
d.	Diabetes insipidus

 

 

ANS:  A

High blood pressure causes arterial walls to thicken and harden. With atherosclerosis plaques are formed inside the walls of arteries. As arterial walls harden and thicken, the arteries become narrow resulting in increased blood pressure over time.

 

DIF:    Cognitive Level: Remembering        REF:   p. 254

 

3. What types of over-the-counter drugs can worsen high blood pressure?

a.	Drugs for asthma
b.	Laxatives
c.	Cortisone creams
d.	Aspirin

 

 

ANS:  A

Patients with hypertension should not take over-the-counter drugs (such as drugs for appetite control, asthma, colds, and hay fever) without asking their prescriber. These drugs can cause worsening of high blood pressure because they all constrict blood vessels.

 

DIF:    Cognitive Level: Remembering        REF:   p. 251

 

4. How do most diuretics lower blood pressure?

a.	Preventing clots from forming
b.	Promoting water and sodium loss
c.	Constricting blood vessel muscles
d.	Reversing atherosclerosis

 

 

ANS:  B

Diuretics are drugs that decrease blood pressure by eliminating excess water and salt from the body.

 

DIF:    Cognitive Level: Remembering        REF:   p. 256

 

5. How do angiotensin-converting enzyme (ACE) inhibitors lower blood pressure?

a.	Preventing clots from forming
b.	Promoting water and potassium retention
c.	Relaxing blood vessel muscles
d.	Reversing atherosclerosis

 

 

ANS:  C

ACE inhibitors block production of substances that constrict (narrow) blood vessels. They also help decrease the buildup of water and salt in the blood and body tissues. The exact way that these drugs work is not known but they block an enzyme in the body that is necessary for production of angiotensin II (a substance that causes blood vessels to tighten or constrict). The result is that blood vessels relax and blood pressure is decreased.

 

DIF:    Cognitive Level: Remembering        REF:   p. 257