Clinical Considerations in Antiypertensive therapy (Dr. D'AMico)

Question 1

individuals who are normotensive at 55 years of age have a _____-lifetime risk for developing hypertension

Answer 1

90%

Question 2

what is normal hypertension

Answer 2

120/80

Question 3

what is prehypertension

Answer 3

129-139 or diast 80-89

Question 4

what are the criteria for stage 1 hypertension

Answer 4

syst BP 140-159 or diast of 90-99

Question 5

what are the criteria for stage 2 hypertension

Answer 5

syst BP greater than 160, and diast greater than 100

Question 6

what are the three main risks for hypertension

Answer 6

retinopathy
kidney disease
cardiovascular disease

Question 7

primary hypertension is also known as

Answer 7

essential or idiopathic hypertension

Question 8

according to JNC 7 patients who are normal or prehypertensive should be treated how

Answer 8

only with encouragement of lifestyle modification

Question 9

if patient has coronary artery disease/previous MI the desirable agents are

Answer 9

ACE inhibitor or Angiotensin receptor blocker and beta blocker

Question 10

if patient has systolic heart failure what are the deriable agents

Answer 10

ACE inhibitor, ARB if intol to ACE, thiazide
Aldosterone antagonist
Beta blocker if stable

Question 11

what are the LESS desirable agents for systolic heart failure

Answer 11

non-dihydropyridine calcium channel blockers

Question 12

what are the desirable agents in patients with diastolic heart failure

Answer 12

ACE inhibitor or ARB
Thiazide diuretic
Beta Blocker (if stable)

Question 13

what are the desirable agents for patients with diabetes

Answer 13

ACEI or ARB
thiazide
Beta blocker
Nondihydropyridine calcium channel blocker

Question 14

what are the desirable agents for chronic kidney disease

Answer 14

ACEI or ARB but…ACE contraindcated in bilateral renal artery stenosis and ARB caution in hyperkalemia

Question 15

what are the desirable agents for previous stroke or TIA

Answer 15

ACEI or ARB

thiazide diruetic

Question 16

what are the desirable agents for for exertional l angina

Answer 16

beta blocker and calcium channel blocker

Question 17

what are the less desirable for patients with exertional angina

Answer 17

direct vasodilators or short acting dihydropyridine calcium channel blockers

Question 18

what are the desirable agents for Prinzmetals variant angina

Answer 18

calcium channel blocker

Question 19

what are the LESS desirable agents for prinzmetals variant angina

Answer 19

beta blockers

Question 20

number one side effect of ACE inhibitor is

Answer 20

cough

Question 21

what are the less desirable agents for comorbid conditions

Answer 21

thiazide diuretics (except indapamide)
beta blockers (esp. non-cardioselective beta blockers)

Question 22

what facilitates angioedema

Answer 22

build up of bradykinin

Question 23

what are the desirable agents for dyslipidemia

Answer 23

Alpha blocker
ACEI or ARB
calcium channel blocker
indapamide

Question 24

what are the desirable agents for patients with osteoporosis

Answer 24

thiazide diruetic

Question 25

what are the desirable agents for benign prostatic hypertrophy

Answer 25

alpha blocker

Question 26

desirable agents in migraine cephalgia

Answer 26

beta blockers (non-cardioselective) and Nondihydopyridine calcium channel blocker

Question 27

what drug should be avoided in gout patients

Answer 27

thiazide diruetics

Question 28

what drugs should be avoided in asthma, severe chronic obstructive lung disease

Answer 28

beta blockers

Question 29

what drugs should be avoided in patients who have current or history f depression

Answer 29

central alpha agonists reserpine beta blockers

Question 30

what are the desirable agents for pregnancy hypertension

Answer 30

methyl dopa | hydralazine

Question 31

what drugs should be avoided in pregnancy

Answer 31

ACEI and ARB's

Question 32

what are the agents that should be less desirable agnet for individuals who are physically active or atheles

Answer 32

high dose diuretics | beta blockers

Question 33

what agents should be avoided in sexually active men

Answer 33

beta blockers | thiazide diuretic

Question 34

what agents should be avoided in truck drivers

Answer 34

central alpha agonists | dirueticss

Question 35

what are the desirable agents for african americans

Answer 35

thiaxide diruetics and calcium channel blockers

Question 36

what are the less desirable agents for african americans

Answer 36

ACI and ARBS

Question 37

what are the agents that are desirable for

Answer 37

thiazide diruetics | dihydropyridien calcium channel blockers

Question 38

what drugs should be avoided in the elderly with orthostatic hypertension

Answer 38

avoid/use with caution alpha blockers