Antihypertensives

Question 1

Contraindications to ACEIs/ARBs

Answer 1

Pregnancy, hyperkalaemia, bilateral renal artery stenosis

Question 2

AEs of ACEIs/ARBs

Answer 2

Cough, hypotension, hyperkalaemia, renal impairment (triple whammy), angioedema

Question 3

Contraindications to CCBs

Answer 3

Heart failure, 2nd/3rd degree heart block

Question 4

AEs of CCBs

Answer 4

Heart block, peripheral oedema, headache, dizziness, gum hyperplasia, constipation, GORD

Question 5

Contraindications to thiazides

Answer 5

Gout, (pregnancy), (glucose intolerance)

Question 6

AEs of thiazides

Answer 6

Hypokalaemia, metabolic acidosis, hypovolaemia, hyponatraemia, hyperglycaemia, hypercholesterolaemia, hyperuricaemia

Question 7

Contraindications to BBs

Answer 7

Asthma, heart block, (COPD), (glucose intolerance), (athletes/physically active)

Question 8

AEs of BBs

Answer 8

Exercise intolerance, diarrhoea, bronchoconstriction, cold extremities, bradycardia, heart failure, heart block, alopecia, hallucinations, insomnia, vivid dreams, nightmares, sexual dysfunction

Question 9

Preferred antihypertensives in angina

Answer 9

BB, CCB, ACEI

Question 10

Preferred antihypertensives in AF

Answer 10

ACEI/ARB (for remodelling)

Non-DHP CCB, BB (for rate control)

Question 11

Preferred antihypertensive in post-MI

Answer 11

BB, ACEI

Question 12

Preferred antihypertensive in CKD

Answer 12

ACEI/ARB

Question 13

Preferred antihypertensives in post-CVA

Answer 13

ACEI/ARB, thiazides

Question 14

Preferred antihypertensive combination

Answer 14

ACEI/ARB + CCB

Question 15

AE of hydralazine

Answer 15

SLE-like syndrome

Question 16

AE of minoxidil

Answer 16

Hypertrichosis