Cardiovasc Flashcards
1
Q
HTN- Less than 60, CKD or DM
A
Tx at 140/90
2
Q
HTN > age 60
A
Tx 150/90
3
Q
HTN w/ CKD
A
ACEI or ARB first line
4
Q
HTN- black
A
Thiazide or CCB
5
Q
HTN, nonblack
A
Thiazide, ACE or ARB, CCB
6
Q
HTN- Sx
A
Asymptomactic, eye changes (papiliedema), loss of peripheral pulses
7
Q
Primary aldosteronism
A
- Elevated aldosterone, suppression of renin
- Hypokalemia- weak, fatigue, palpitations
8
Q
2nd HTN- CKD
A
- GFR decline, proteinuria
- Increase intravascular volume
9
Q
2nd HTN- Renal artery stenosis
A
- Excess artery stenosis
- Renal bruits, avoid ace + arb
10
Q
2nd HTN-Coarction of aorta
A
- Congenital narrowing of aortic arch
- Arm/ leg SBP > 20 mmhg
- Absent femoral pulses
11
Q
2nd HTN-Pheochromochytoma
A
- Cathecholamine endocrine tumor
- Attacks triggered by exercise, bending, stress,
- Flushing, ortho htn, palpitations
- hypertensive crisis
12
Q
2nd HTN-Cushings
A
- Excess salt & water - increased angiotensin
13
Q
2nd HTN-Sleep apnea
A
CO2 causes anoxic events- daytime somnolence, snoring apnic events
14
Q
Beta blockers- MOA
A
Antagonizes beta receptors, decreased HR and decreased vascular tone
15
Q
Beta blockers- Names
A
- Olols
