TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 96: Pulmonary Hypertension Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient with increased left-sided heart pressure will have which type of pulmonary
hypertension? a. Group 2 b. Group 3 c. Group 4 d. Group 5 ANS: A
Group 2 pulmonary hypertension is associated with increased left-sided heart pressure. 2. A patient who experienced mild pulmonary hypertension with a previously loud second heart
sound on exam now demonstrates edema and jugular vein distension. This indicates which complication? a. Left ventricular dysfunction b. Right ventricular dysfunction c. Tricuspid valve involvement d. Mitral valve involvement ANS: B
Right ventricular dysfunction occurs as the disease worsens with manifestations that include jugular vein distension, edema, and increased liver size. These symptoms do not indicate left NURinvolvement. SINGTB.COM ventricular dysfunction or valvular 3. A patient diagnosed with pulmonary arterial hypertension (PAH) has increased dyspnea with
activity. Which medication may be prescribed to manage symptom on an outpatient basis? a. An inhaled prostanoid b. Bosentan c. Epoprostenol d. Trepostinil ANS: B
Bosentan helps promote pulmonary artery smooth muscle cell proliferation and improves exercise capacity. It is also given PO, so is easy to give on an outpatient basis. Inhaled prostanoids have a short half-life and must be given 6 to 9 times daily. Epoprostenol has a short half-life and must be given IV. Trepostinil is given IV.
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