Answer to Question 1
D
Dizziness is a common side effect of verapamil, therefore the patient should use caution when rising to reduce the risk of falls.
Diarrhea is an uncommon side effect of verapamil. Constipation is the most common side effect of verapamil, especially in elderly patients.
Verapamil does not cause photophobia or migraine headaches.
Answer to Question 2
C
When bilateral adrenal hyperplasia is the cause of hyperaldosteronism, an aldosterone antagonist is the preferred treatment. Spironolactone is used most often, because it normalizes the potassium level within 2 weeks.
Spironolactone is used to treat bilateral adrenal hyperplasia; however, it normalizes the potassium level rather than increasing the sodium level.
Hydrocortisone is not indicated for the treatment of bilateral adrenal hyperplasia.
Fludrocortisone is indicated for the treatment of Addison's disease, primary hypoaldosteronism, and congenital adrenal hyperplasia. The sodium level should increase with this drug.
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