BP

Question 1

AHA stages for elevated BP

Answer 1

120-129 / AND <80

Question 2

Stage 1 hypertension ?

Answer 2

130-139 / (OR) 80-89

Question 3

Stage 2 HTN?

Answer 3

140 / (OR) >90

Question 4

Diagnosis?

Answer 4

Average of 2 separate readings in 2 separate occasions

Question 5

How do you manage stage 1 hypertension?

Answer 5

Lifestyle modifications first

R/a in 3-6 months

Question 6

What if the patient at stage 1 has an ASCVD >10%

Answer 6

Lifestyle + MEDS

Question 7

Stage 2 treatment ?

Answer 7

Lifestyle + meds

Question 8

Goal BP ??

Answer 8

<130/ <80

Question 9

When do you hear S4

Answer 9

Elderly

Uncontrolled hypertension

Left ventricular hyper trophy

Question 10

When do you hear S3

Answer 10

Volume overload
Pregnancy
HF

Question 11

What are the criteria for metabolic syndrome

Answer 11

Waist circumference:

> 35 inches in women
40 inches in men

Triglycerides:
>150

HDL:
<40 in men
<50 in women

BP:
>130/85

FBG:
>100

Question 12

Which BP med is do we not prescribe to metabolic syndrome ?

Answer 12

thiazide diuretics

Question 13

How do we treat metabolic syndrome

Answer 13

Lifestyle modifications

And whatever the patient has needs for

Question 14

What fundoscopic exam do you see with HTN

Answer 14

AV nicking
Copper wire arteries
Flame hemorrhage

•AV nicked my copper wire and burst it into flames

Question 15

What fundoscopic exam is a medical emergency

Answer 15

Papilledema (optic disc swelling)

Question 16

What fundoscopic exam is noted in diabetes

Answer 16

Cotton wool spots
Neovascularization
Blot hemorrhages
Microaneurysms

Blot had a micro amount of Neo cotton spots

Question 17

What diagnoses HF via echo? What is a normal EF

Answer 17

<40%

Normal > 55%

Question 18

What Heart sound would you hear with heart failure ?

Answer 18

S3