Question

d. A sudden increase in systolic and diastolic blood pressure with a change in body position 40. There are various classes of drugs used in the treatment of hypertension. The classification _reduces nerve impulses to the heart and blood vessels. a. Diuretics b. Antiarrhythmics c. Beta-blockers d. Angiotensin-converting enzymes Case 5: Sahita, a 33-year-old female Subjective: • The patient is here today for a follow-up regarding a recent diagnosis of Early Onset Parkinson's Disease • Her symptoms include involuntarily motor movements, memory loss, confusion, and balance difficulties • Her medical history includes exposure to heavy pesticides during her work as a farmer, chickenpox, migraines, and I pregnancy • Medication List: Sinemet (carbidopa levodopa) 25mg/100mg, Osmolex (amantadine) 100mg, Celexa (citalopram) 40mg, Micronor (norethindrone acetate), and a Multivitamin Allergy List: Sulfa drugs, penicillins, and ragweed Objective: On inspection, the patient has a shuffling gait, a fine tremor of the extremities, and muscular rigidity: Vitals are WNL 41. True or False: From a pharmacologic standpoint, there is a cure for Parkinson's Disease a True b. False 42. Which of the following vitamins, commonly found in multivitamins, is contraindicated in patients living with Parkinson's Disease and those taking a medication with Levodopa as an ingredient? a. BI. Thiamine b. B6, Pyridoxine c. B9, Folic Acid d. B12, Cobalamin 43. What type of medication classification is the patient's Celexa? a. Hypoglycemic b. Selective serotonin reuptake inhibitors c. Sedative d. Proton Pump Inhibitor 44. Extrapyramidal symptoms (EPS) are drug-induced movements that can cause symptoms such as dystonia, akathisia, and parkinsonism. Which of the following drugs can cause EPS? a. Prolixin (fluphenazine) b. Tobradex (tobramycin) c. Vagifem (estradiol hemihydrate) d. Demadex (torsemide) 45. Which of the patient's medications also has efficacy for the treatment of influenza A? a. carbidopa levodopa b. amantadine c. citalopram d. norethindrone 46. The patient's birth control, Micronor (norethindrone) is a synthetic version of what hormone?

Answer 1

Ans. 40.the right answer is angiotensin converting enzyme.

Angiotensin converting enzyme (ACE) inhibitors help relax your veins and arteries to lower your blood pressure.ACE inhibitors prevent an enzyme in your body from producing angiotensin second, a substance that narrows your blood vessels. Angiotensin second also release harmones that rise your blood pressure.