Deck 20: Drugs for Lipid Disorders

Question 1

The pharmacy technician instructs the patient that which foods contain high amounts of Omega-3 fatty acids? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Green beans
B) Bananas
C) Tofu
D) Salmon
E) Red meat

Answer 1

Tofu
Salmon

Question 2

What is the role of HDL in the body?

A) Deposits cholesterol in the blood vessels.
B) Picks up cholesterol in the blood and other tissues and returns it to the liver.
C) Destroys the cholesterol in the blood vessels
D) Eliminates cholesterol from the body via bile

Answer 2

Picks up cholesterol in the blood and other tissues and returns it to the liver.

Question 3

These are the major storage form of fat in the body and the only type of lipid that serves as an important energy source.

A) Fatty acids
B) Triglycerides
C) Steroids
D) Phospholipids

Answer 3

Triglycerides

Question 4

These substances are water soluble and can be transported freely throughout the blood, carrying cholesterol.

A) Steroids
B) Bile
C) Lipoproteins
D) Fatty acids

Question 5

What is the major storage form of fat in the body and the only type of lipid that serves as an important energy source?

A) HDL
B) Cholesterol
C) LDL
D) Triglycerides

Question 6

The pharmacist is caring for a patient who asks why LDL (low-density lipoprotein) is called the "bad" cholesterol. Which response by the pharmacist is most appropriate?

A) It consists of 50 percent cholesterol.
B) It synthesizes other steroids.
C) It is stored in the tissues.
D) It increases the risk of heart disease.

Question 7

The patient has an HDL cholesterol value of 0.7 mmol/L. What is the most appropriate interpretation of this value by the pharmacist?

A) Normal
B) Borderline
C) Low
D) High

Question 8

Which instructions by the pharmacist are appropriate for a patient who wants to decrease the cholesterol level? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Stop smoking.
B) Increase physical activity.
C) Increase dietary fiber.
D) Increase LDL intake.

Question 9

The patient has been taking nicotinic acid. Which adverse effects are common with nicotinic acid? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Chills
B) Hot flashes
C) Goosebumps
D) Flushing
E) Weight gain

Question 10

The patient is going to be started on cholestyramine three times daily. What instruction should the pharmacist provide to this patient?

A) Take with large amounts of fluid.
B) Take in the morning.
C) Take with food.
D) Take without food.

Question 11

Hyperlipidemia, or hypercholesterolemia, are the result of a combination of genetic and environmental (lifestyle) factors.

Question 12

HDL stands for high-density lipoproteins and is considered bad cholesterol.

Question 13

Because it is not soluble in blood, very little cholesterol actually travels through the blood in its free form.

Question 14

Very low density lipoproteins (VLDL) is converted to LDL, via the help of lipoprotein lipase, as it travels through the bloodstream.

Question 15

Patients at high risk that are started on drug therapy do not need to continue their lifestyle changes.

Question 16

Monoamine oxidase is inhibited by statins and serves as the primary regulator of cholesterol biosynthesis.

Question 17

The statins have been shown to slow the progression of coronary artery disease and to reduce mortality from cardiovascular disease.

Question 18

S.V., age 57, a smoker and heavy drinker, has recently been diagnosed with hyperlipidemia and hypercholesterolemia. His grandfather suffered a fatal heart attack at age 60. His father suffered a heart attack at age 62 and survived. S.V.'s brother also has elevated cholesterol and lipid levels and has had angioplasty. The physician recommends S.V. adopt several life style modifications as well as take the medication atorvastatin.
-What lifestyle changes would help S.V. to lower his cholesterol levels?

Question 19

S.V., age 57, a smoker and heavy drinker, has recently been diagnosed with hyperlipidemia and hypercholesterolemia. His grandfather suffered a fatal heart attack at age 60. His father suffered a heart attack at age 62 and survived. S.V.'s brother also has elevated cholesterol and lipid levels and has had angioplasty. The physician recommends S.V. adopt several life style modifications as well as take the medication atorvastatin.
-S.V. calls the pharmacy 2 weeks after beginning the medication. He wants to purchase a cholesterol home test today to see if the medication is working yet. What should you tell S.V.?

Question 20

S.V., age 57, a smoker and heavy drinker, has recently been diagnosed with hyperlipidemia and hypercholesterolemia. His grandfather suffered a fatal heart attack at age 60. His father suffered a heart attack at age 62 and survived. S.V.'s brother also has elevated cholesterol and lipid levels and has had angioplasty. The physician recommends S.V. adopt several life style modifications as well as take the medication atorvastatin.

-At his 6 week checkup, S.V., who loves to start his day with a full glass of grapefruit juice, complains to the doctor of muscle aches that were not there before starting lipid lowering therapy. What action should be taken at this time and why?