Successful completion of “Pharmacists’ role in promoting adequate blood pressure control” (lesson 401-000-08-008-H01) is worth two contact hours of credit. Mail completed answer sheet to DrSN/Pharmacy Practice, P.O. Box 31180, Tampa, FL 33631-3180. For faster service, fax to (813) 626-7203. For fastest service, visit our Web site at www.cedrugstorenews.com.

 

1. Nearly 1-out-of-every- 4 individuals with hypertension is unaware of his or her condition. a. True. b. False.

 

2. The higher the blood pressure: a. The greater the risk. b. The lower the risk. c. Has no influence on risk.

 

3. Studies have shown that antihypertensive therapy can reduce the risk of: a. Stroke. b. Myocardial infarction. c. Heart failure. d. All of the above.

 

4. In the Framingham study,
patients over 75 years old were:
a. More likely to be controlled.
b. Less likely to be controlled.
c. As well controlled as other
patients.
d. Were not at risk of
hypertension.

 

5. Hypertension for which the cause is unknown is known as: a. Primary hypertension. b. Secondary hypertension. c. White coat syndrome. d. Controllable risk factors.

 

6. Hypertension occurs more severely in: a. Hispanics. b. Caucasians. c. African-Americans. d. American Indians.

7. Consider a patient who is
overweight, has hyperten-
sion, smokes and eats at a
fast food restaurant at least
once a day. What lifestyle
recommendations would be
appropriate for the first time
the pharmacist is counseling
him?
a. Tell the patient he must stop
smoking, lose 20 pounds, learn
how to cook and join a health
club.
b. Tell the patient that, since he
obviously isn’t going to do any
thing to change any of his bad
habits, he should be sure to
take his medication and hope
for the best.
c. Warn the patient that if he
doesn’t make a whole lot of
changes he’s going to land in
the hospital—or the morgue.
d. Talk with the patient to identi-
fy one change, such as order-
ing a salad instead of a ham-
burger when he eats out, and
see how that works for a cou-
ple of weeks.

 

8. A patient with a systolic blood pressure of 145/95 mmHg is classified with: a. Normal blood pressure. b. Prehypertension. c. Stage 1 hypertension. d. Stage 2 hypertension.

 

9. The goal blood pressure of hypertensive patients without compelling indications is less than: a. 120/80 mmHg. b. 130/80 mmHg. c. 140/90 mmHg. d. 145/90 mmHg.

 

10. The goal blood pressure of hypertensive patients with compelling indications is less than: a. 120/80 mmHg. b. 130/80 mmHg. c. 140/90 mmHg. d. 145/90 mmHg.

11. The DASH diet is rich in: a. Fruit and vegetables. b. Poultry and fish. c. Whole grain foods. d. All of the above.

 

12. The JNC- 7 guidelines recommend a reduction in sodium intake to less than: a. 1. 2 grams. b. 2. 4 grams. c. 3. 5 grams. d. 4. 2 grams.

 

13. The loss of 20 pounds can lead to a reduction in systolic blood pressure of: a. 2 mmHg. b. 10 mmHg. c. 20 mmHg. d. 50 mmHg.

 

14. The JNC- 7 guidelines recommend limiting daily alcoholic intake to: a. One drink for women and two drinks for men. b. Two drinks for women and three drinks for men. c. Two drinks for women and men. d. One drink for women and men.

 

15. The pressure against the arteries when the heart is contracted is called: a. Diastolic blood pressure. b. Systolic blood pressure. c. Pulse. d. Hypertension.

 

16. In a study of 430 patients, those who used home blood pressure monitoring: a. Stopped going to their doctor. b. Had improved outcomes such as a decrease in medications. c. Had a high frequency (66 percent) of self-adjusting their amount of medication based on their blood pressure reading. d. Had outcomes that were no different from those who did not use home blood pressure monitoring.

17. The arm used for a blood pressure reading should be: a. Hanging at the patient’s side. b. Supported at heart level. c. Supported at waist level. d. Held completely straight.

 

18. The FDA’s approval to market a home blood pressure monitor is referred to as a. Device Authorization Act (501k). b. Device Use and Approval (1050k). c. Premarket notification (510k) d. Device Pre-Approval Process (511k).

 

19. While patients should be encouraged to use home blood pressure monitoring and to maintain a record of the results, this information should NOT be shared with the physician because it may give the impression that the patient does not trust the doctor. a. True. b. False.

 

20. Studies have found that approximately ___ of patients with newly diagnosed hypertension will discontinue therapy during the first year. a. 10 percent. b. 20 percent. c. 40 percent. d. 60 percent.