2 TESTS. The test on the PI was the hardest. Good luck!
This is one of the Novartis tests we recently had for Tekturna. Hope it helps. This was the only one I could find. If nothing else may give you areas to focus.
TKT – overeactive RAAS does
Augments vasoconstriction and inhibits vasodilation
2410 pts were required to have stage 2 hptn and 2 components of metabolic syndrome, which was not one of the conditions
Diabetes
TKT available 150-300 capsules
False
B/c DRI ultimately reduces angiotensin IIlevels – TKT primarily
Decreases vasoconstriction
Uresin trial, which markers of RAAS were shown to be reduced when TKt added to acei
PRA, Aldosterone
Tkt tier 2 coverage and low copay
Flase
Gordon study RAAS measured by PRA –
Did not significantly decrease
Study 2409 was designed to determine TKT HCT 300/25 would be inferior to amlodipine 10mg in recucing SBP in pts w/ stage 2 hypertension and diabetes
True
Tkt PRA is reduced by
Aliskiren
PI Tkt HCT serum electrolytes should be determined
Periodically
Which following statements is correct regarding discontinuation of Tkt
Abrupt increases in blood pressure or plasma renin activity w/ discontinuation were not associated w/ Tkt when used w/ comb therapy
Tkt – overactive RAAS does what
Augments vasoconstriction and inhibits vasodilations
Renin produced in kidney
Juxtaglomerular cells
Tkt belongs to which class
DRI
Daily dose can be increased to
300mg
W&P – Tkt HCT – associated w/ use of hydrochlorothiazides include the following except
Cardiac impairment
Binding to and inhibiting renin at the first and rate – limiting step of the RAAS, Tkt reduces which of these key contributors to hypertension
All of the above - ang 1, ang2, and aldosterone
What % of SBP reductions were maintained 4 days after last dose of Tkt 300 – Oh trial (2308)
80%
Recommended start dose of Tkt for pts 65 and older
150 once daily
Discontinuation rates
Tekturna 2.2% - TkT HCT 2.7%
Hypertensive pts, treatment w Tkt ____________ plasma renin activity
Decreases
After Tkt binds w/ renin, renin is unable to bind w/
Angiotensinogen
Physiologic mechanisms that raise blood pressure when it is too low, and lower blood pressure when it is too high are part of
Homeostasis
US 03 study Tkt HCT was not shown to be superior to amlodipine in Af Amer pts w/ stage 2 hypertension, however each arm achieved a 29mm reduction in SBP
True
Gordon study – RAAS activity as measured by PRA, ____________ in response to angiotensinII in hypertensive diabetic pts
Did not significantly decrease
Clinical trials, bp lowering effects of Tkt monotherapy were
All of the above – dose related, statistically significant compared w/ placebo, seen w/ once daily administration
Trial of mild to moderate hypertensive pts w/ controlled diabetes which ACE inhibitor was used in comb w/ Tkt 300 mgs and how much more S
Ramipril 10mg, 40%