08 - 54 yo M with elevated BP

Question 1

the length of a BP cuff should be at least ____% of the arm circumference, and the width of the cuff must be at least ____% of the arm circumference

Answer 1

• length 80%

- width 40%

Question 2

why does JNC 7 recommend serum calcium levels for HTN monitoring?

Answer 2

• 1/3 of patients with hyperparathyroidism AND HTN may have illness attributable to renal parenchymal damage due to nephrolithiasis
• increased calcium levels can also have a direct vasoconstrictive effect

Question 3

what is the single greatest lifestyle change one could do to reduce BP most significantly?

Answer 3

weight loss: 5-20 mmHg per 10 kg weight loss

Question 4

can ACEis and ARBs be combined?

Answer 4

NO

Question 5

what is the USPSTF recommendation for initiating aspirin?

Answer 5

low dose aspirin for primary prevention of CVD and CRC in adults 50-59 who

• have a 10% or greater 10 yr CVD risk
• are not at increased risk for bleeding
• have a lie expectancy of at least 10 years
• willing to take low dose aspirin daily for at least 10 years

Question 6

what is a common side effect of CCBs?

Answer 6

leg edema