A 64-Year-Old Man Comes to the Office for Follow-Up of Hypertension

question 536

Multiple Choice

A 64-year-old man comes to the office for follow-up of hypertension.  At the last 2 visits, his blood pressure was persistently elevated.  The patient has been treated with lisinopril for the past 5 years, but his other blood pressure medications have been changed several times due to various adverse effects.  Medical history is significant for type 2 diabetes mellitus, coronary artery disease with stable angina, and moderately increased albuminuria.  Blood pressure is 145/87 mm Hg and pulse is 70/min.  BMI is 31 kg/m².  Physical examination shows trace bilateral lower extremity edema.  ECG is unremarkable.  Serum laboratory results are as follows: Review of the patient's medical records shows similar serum laboratory results 6 months ago.  Which of the following medications should be avoided in this patient?

• A)Amlodipine
• B)Bumetanide
• C)Diltiazem
• D)Eplerenone
• E)Furosemide
• F)Metoprolol

Grasp the impact of stress on immune system functioning.

Understand how stress influences the development and progression of specific diseases, like coronary heart disease and HIV/AIDS.

Describe the effects of stress on healing and infection rates.

Understand the psychological factors that contribute to heart disease.

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Definitions:

Self-care

The practice of taking action to preserve or improve one's own health, well-being, and happiness, particularly during periods of stress.

Noncompliance

The action or condition of failing to follow prescribed medical advice or treatment plans, which can hinder recovery and health outcomes.

Developmental Theory

A framework for understanding how individuals grow and change physically, cognitively, and socially throughout their lifespan.

Predictive Process

An analytical technique or methodology used to forecast future events or behaviors based on historical data and trends.