Cardiology I-Hypertension, Heart Failure, Endocarditis, Pericarditis, Effusion

Question 1

Goal BP

Answer 1

goal is 140/90

Question 2

Goal BP over 60

Answer 2

goal is 150/90

Question 3

Chronic KD goal BP

Answer 3

goal is

Question 4

DM

Answer 4

goal is

Question 5

Non AA HTN drugs

Answer 5

Thiazide
ACE i
ARB
CCB

Question 6

African American HTN drugs

Answer 6

Thiazide or CCB

Question 7

Initial drugs HTN for Chronic kidney disease

Answer 7

ACEI or ARB

Question 8

Initial drugs HTN DM

Answer 8

ACEI, ARB, thiazide, diuretic or CCB

Question 9

Dx of HTN`

Answer 9

2 or more readings on
2 or more different occasions
no smoking or caffeine 30 min prior
consider home ambulatory BP monitor

Question 10

Work up: HTN

Answer 10

EKG, exam, CXR
UA. BUN, CR, L+, CBC, CMP, lipids
retinopathy
VA/TIA peripheral artery dz

Question 11

HTN co morbidities

Answer 11

DM, dyslipidemia, smoking, obesity, inactivity, age, fam hx of premature cardiovascular dz

Question 12

46 y/o AA with 150/92 x 2 measurements. RX?

Answer 12

hydrochlorothiazide

Question 13

Secondary HTN

Answer 13

sudden onset, young, refractory to meds, 3+ meds and still persistent.
Aldosteronism, CKD, pheochromocytoma, Cushings, Coarc, meds, sleep apnea

Question 14

Aldosteronism

Answer 14

most common treatable cause of HTN
dec K+ & renin, inc Aldosterone, - order aldosterone/renin ratio
tumor creating aldosterone that increases BP, CT to find tumor on adrenal gland

Question 15

Chronic Kidney Dz

Answer 15

Most common cause of secondary HTN
expanded plasma volume with peripheral vasoconstriction
BUN/CR, UA, microalbumineria, renal U/S

Question 16

Renal artery stenosis

Answer 16

artery to kidney is narrowed, CT, stent,

Assoc with fibromuscular dysplasia and renal artery CAD