16. Antihypertensives I

Question 1

A 39 year white man goes to a routine doctor visit. During the visit his vitals are recorded as follows, HR- 82, O2- 97, BP- 128/92, Resp- 16. How would you classify his BP?

A.  Stage 1 Hypotension 
B. Normal 
C. Elevated
D. Stage 1 hypertension 
E  Stage 2 hypertension 

RFA

Answer 1

Ans. Stage 2 Hypertension- which is SBP >140 OR DBP >90

A. Stage 1 Hypotension- don’t think their are stages

B. Normal- SBP <120 and DBP< 80

C. Elevated- SBP 120-129 and <80

D. Stage 1 hypertension- SBP 130-139 or 80-89

Question 2

A 39 year black man goes to a routine doctor visit. During the visit his vitals are recorded as follows, HR- 82, O2- 97, BP- 132/84, Resp- 16. You decide to put him on a hypertensive medication, which of the listed would be an appropriate first line medication.

A. Lisinopril 
B. Amlodipine 
C. Aliskiren 
D.Valsartan 
E. Spironolactone 

RFA

Answer 2

Ans. B Amlodipine- for black people first line hypertension medication are Ca blockers and thiazide diuretics

A. Lisinopril- is a ACE-I and is first line for young white people

C. Aliskiren- is a renin inhibitor and would be used after second and first line agents

D. Valsartan- is a ARB and is first line in young white people, particularly those you get ACE-I inhibitor induced coughing

E. Spironolactone-is aldosterone antagonist and would be used as a second line agent.