APEA 3P Exam Prep- Cardiovascular
Questions with Correct Answers and
Explanations
Which patient could be expected to have the highest systolic blood pressure?
A 21-year-old male
A 50-year-old perimenopausal female
A 35-year-old patient with Type 2 diabetes
A 75-year-old male
D.
Nearly 25% of the US population has hypertension. The greatest incidence is in older adults because
of changes in the intima of vessels as aging and calcium deposition occur. Males of any age are more
likely to be hypertensive than females of the same age. African American adults have the highest
incidence in the general population. Among adolescents, African Americans and Hispanics have the
highest rates. Hypertension occurs in 5-10% of pregnancies.
Mrs. Brandy is having contrast dye next week for a heart catheterization. What drug does NOT need
to be stopped prior to her catheterization?
Naproxen
Furosemide
Metformin
Losartan
D.
Naproxen and furosemide should be stopped for 24 hours prior to the catheterization. Metformin
should be stopped 48 hours prior to the catheterization. Furosemide is stopped because it
contributes to volume depletion. NSAIDs like naproxen are withheld because of the impact on renal
prostaglandin production. Metformin has been implicated in lactic acidosis when combined with
contrast dye in an impaired kidney.
In older adults, the three most common ailments are:
hearing loss, vision loss, hypertension
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