Author Question: A 16-year-old adolescent who received a kidney transplant at the age of 10 has recently developed a ... (Read 137 times)

nummyann · **on:** Jun 25, 2018

A 16-year-old adolescent who received a kidney transplant at the age of 10 has recently developed a trend of increasing BP readings.

Of the following list of medications, which may be the primary cause for the development of hypertension?
A)
Furosemide (Lasix)
B)
Cyclosporine (Sandimmune)
C)
Isotretinoin (Accutane)
D)
Hydrochlorothiazide (Hydrodiuril)

Question 2

Which of the following individuals is most likely to be experiencing vasodilation?

A)
A 51-year-old man with a history of hypertension who is taking a medication that blocks the effect of the renin-angiotensin-aldosterone system
B)
A 9-year-old boy who has been given an injection of epinephrine to preclude an anaphylactic reaction to a bee sting
C)
A 30-year-old woman who takes antihistamines to treat her seasonal allergies
D)
A 32-year-old man who takes a selective serotonin reuptake inhibitor for the treatment of depression

macagnavarro · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

The nephrotoxicity of the drug cyclosporine, an immunosuppressant used in transplant therapy, may cause hypertension in children after bone marrow, heart, kidney, or liver transplantation.

Answer to Question 2

Ans:
A

Feedback:

Angiotensin is a potent vasoconstrictor, and medications that block this induce vasodilation. Epinephrine is also a vasoconstrictor. Histamine is a vasodilator, so antihistamine medications are likely to induce vasoconstriction. Serotonin is a vasoconstrictor, so medications that block its reuptake and increase free levels are apt to promote vasoconstriction.