FREE BCACP Hypertension and Dyslipidemia Therapy Questions and Answers

Question 1

A 68-year-old African American male presents for a follow-up visit for his hypertension.
His current blood pressure is 148/92 mmHg.
His current medications include lisinopril 40 mg daily.
He has no other compelling indications.
According to the JNC 8 guidelines, which of the following is the most appropriate next step in managing his hypertension?

Accepted Answer

Add amlodipine 5 mg daily.

Answer

Increase lisinopril to 80 mg daily.

Answer

Add metoprolol succinate 50 mg daily.

Answer

Add losartan 50 mg daily.

Question 2

A 55-year-old female with a history of a myocardial infarction 2 years ago is on atorvastatin 80 mg daily. Her recent LDL-C is 85 mg/dL. Her other medications are maximized and she is adherent. According to the 2026 ACC/AHA Dyslipidemia Guideline, what is the most appropriate recommendation to further reduce her ASCVD risk?

Accepted Answer

Add ezetimibe 10 mg daily.

Answer

Continue current therapy as LDL-C goal is met.

Answer

Add fenofibrate to her current regimen.

Answer

Switch atorvastatin to rosuvastatin 40 mg daily.

Question 3

A 62-year-old patient with hypertension is currently taking hydrochlorothiazide 25 mg, lisinopril 40 mg, and amlodipine 10 mg daily. Her average home blood pressure readings are 145/95 mmHg. She has no other significant comorbidities. Which of the following represents the best therapeutic addition to manage her resistant hypertension?

Accepted Answer

Spironolactone

Answer

Clonidine

Answer

Doxazosin

Answer

Hydralazine

Question 4

A 48-year-old male with no history of ASCVD has a 10-year ASCVD risk of 15% calculated using the PREVENT equations. His LDL-C is 145 mg/dL despite lifestyle modifications. According to the 2026 ACC/AHA Dyslipidemia Guideline, which of the following is the most appropriate initial therapy?

Accepted Answer

Atorvastatin 40 mg daily

Answer

Pravastatin 20 mg daily

Answer

Ezetimibe 10 mg daily

Answer

Lovastatin 10 mg daily

Question 5

Which of the following lifestyle modifications is consistently shown to have the most significant impact on lowering blood pressure?

Accepted Answer

Reducing dietary sodium intake

Answer

Increasing dietary potassium intake

Answer

Engaging in regular aerobic exercise

Answer

Moderating alcohol consumption

Question 6

A 59-year-old patient with type 2 diabetes and hypertension is being initiated on antihypertensive therapy. The patient is of non-black ethnicity. According to JNC 8 guidelines, which of the following medication classes would be an appropriate initial choice?

Accepted Answer

Angiotensin-converting enzyme (ACE) inhibitor

Answer

Beta-blocker

Answer

Alpha-blocker

Answer

Loop diuretic