Nondihydropyridine CCB Side Effects Quiz
30 Questions
2 Views
3.7 Stars

Nondihydropyridine CCB Side Effects Quiz

Created by
@CostSavingOctagon

Questions and Answers

What is the arterial blood pressure value that represents the peak achieved during cardiac contraction?

Systolic BP

Which of the following drug classes could contribute to developing elevated blood pressure?

Erythropoiesis-stimulating agents

What is the arterial blood pressure value that represents the minimum achieved after cardiac contraction?

Diastolic BP

Which of the following substances could potentially impact arterial blood pressure?

<p>Ethanol</p> Signup and view all the answers

What is the average pressure throughout the cardiac cycle known as?

<p>Mean Arterial Pressure</p> Signup and view all the answers

Which of the following situations could potentially lead to drug-induced elevation of blood pressure?

<p>Abrupt discontinuation of β-blocker or centrally acting α-agonists</p> Signup and view all the answers

What is the primary physical finding of hypertension?

<p>Elevated blood pressure</p> Signup and view all the answers

Why is hypertension referred to as the silent killer?

<p>It has no symptoms in most patients</p> Signup and view all the answers

How many elevated BP measurements are required for diagnosing hypertension?

<p>The average of two or more measurements taken during two or more clinical encounters</p> Signup and view all the answers

What is recommended for diagnostic confirmation of hypertension before starting antihypertensive therapy?

<p>Ambulatory and self-blood pressure monitoring</p> Signup and view all the answers

Which condition is NOT mentioned as a hypertension-related complication in the text?

<p>Diabetes mellitus (DM)</p> Signup and view all the answers

Why is it important to estimate future risk of cardiovascular disease and clinical ASCVD for patients without certain medical histories?

<p>To guide treatment decisions even without specific medical histories</p> Signup and view all the answers

Which factor determines the choice of initial antihypertensive drug therapy?

<p>Compelling indications</p> Signup and view all the answers

What is recommended for patients with stage 1 hypertension?

<p>First-line antihypertensive drug</p> Signup and view all the answers

When is combination drug therapy recommended?

<p>For patients with more severe BP elevation (stage 2 HTN)</p> Signup and view all the answers

Which class of antihypertensive agents are preferred as first-line agents for most patients?

<p>ACEIs, ARBs, CCBs, or thiazides</p> Signup and view all the answers

When should beta-blocker therapy be reserved according to the text?

<p>To treat compelling indications only</p> Signup and view all the answers

Which drugs are considered alternative drug classes that may be used in select patients after first-line agents?

<p>Other antihypertensive drug classes</p> Signup and view all the answers

Which type of calcium channel blockers (CCBs) do not alter conduction through the AV node and are not effective agents in supraventricular tachyarrhythmias?

<p>Dihydropyridines</p> Signup and view all the answers

Which side effect is unique to verapamil compared to diltiazem?

<p>Constipation</p> Signup and view all the answers

Which calcium channel blocker (CCB) is associated with negative inotropic effects but to a lesser extent than verapamil?

<p>Diltiazem</p> Signup and view all the answers

What is the main reason behind cardiac conduction abnormalities associated with diltiazem and verapamil?

<p>Preexisting cardiac conduction abnormalities</p> Signup and view all the answers

What effect may dihydropyridines cause due to their potent peripheral vasodilating effects?

<p>Tachycardia</p> Signup and view all the answers

Which cytochrome P450 isoenzyme system do verapamil and diltiazem inhibit?

<p>CYP3A4</p> Signup and view all the answers

Why are immediate-release nifedipine not approved for the treatment of hypertension?

<p>Linked to increased incidence of adverse CV effects</p> Signup and view all the answers

What is the most common gastrointestinal side effect associated with verapamil and diltiazem?

<p>Constipation</p> Signup and view all the answers

Which side effects occur more frequently with dihydropyridines compared to non-DHP CCBs?

<p>Peripheral edema and dizziness</p> Signup and view all the answers

Which type of CCBs are very effective in older patients with isolated systolic hypertension?

<p>Dihydropyridine CCBs</p> Signup and view all the answers

Why should verapamil and diltiazem be given cautiously with a β-blocker?

<p>Increased risk of heart block</p> Signup and view all the answers

Which type of grapefruit juice ingestion can inhibit the hepatic metabolism of certain CCBs?

<p>$5(7 + 3)$ quantities or more daily</p> Signup and view all the answers

Use Quizgecko on...
Browser
Browser