Lifestyle And Health Maintenance Practice Test

A 61-year-old male (90 kg) with hypertension reports he often forgets his evening dose. Lifestyle: frequent restaurant meals, minimal exercise; no tobacco; alcohol 1–2 drinks/day. PMH: HTN, hyperlipidemia. Medications: amlodipine 10 mg PO daily, chlorthalidone 25 mg PO every morning, rosuvastatin 20 mg PO nightly (misses 3–4 doses/week). Vitals/labs: BP 150/90 mmHg, LDL 154 mg/dL. Allergies: none. What advice should be given to improve patient adherence?

A 44-year-old man (90 kg) with hypertension reports he frequently forgets his evening dose of medication due to shift work. He eats packaged foods, drinks 2 sodas/day, and does not exercise. PMH: HTN. Medications: losartan 100 mg PO daily (taken at bedtime). Vitals: BP 152/90 mmHg. Labs: K 4.4 mEq/L, SCr 1.0 mg/dL. Allergies: none. What advice should be given to improve patient adherence?