CVS

Question 1

All of the following are true about secondary hypertension except?
Causes include artery stenosis,
Renovascular disease
Aortic coarctation
Pharmacologically resistance BP
Occurs in 90% of patients

Answer 1

Occurs in 90%

Question 2

Systolic bp 120-139 is associated
50% increase risk of ________
71% increase risk of _______

Answer 2

Coronary heart disease
Stroke

Question 3

These sites are the target of many anti hypertension drugs except
Heart
Kidney
Liver
Blood vessels
Medulla

Answer 3

Liver

Question 4

In diabetic and renal disease patients BP goal is :
<120\80
<130/80
<115\75

Answer 4

B

Question 5

Lowering bp lower the following risk factor by 20-25%
Stroke
Myocardial I
Heart failure

Answer 5

mI

Question 6

Lowering bp lower the following risk factor by 40%
Stroke
Myocardial I
Heart failure

Answer 6

Stroke

Question 7

Lowering bp lower the following risk factor by 50 %
Stroke
Myocardial I
Heart failure

Answer 7

Heart failure

Question 8

Direct vasodilatory properties except
Indapamide
Furosemide
Amiloride

Answer 8

F

Question 9

What diuretics isn’t useful in renal insufficiency?
Loop diuretics
Thiazide
K sparing
And which is useful

Answer 9

Unuseful .. thiazide
Useful loop diuretics

Question 10

Following are true about thiazide diuretics except
A It requires normal renal and heart function
B require k supplements
C Metabolic effect is minimized if given in low doses
D Cause hypercalcemia, hypernatremia, hypokalemia
E in diabetic patients it increase blood sugar level

Answer 10

D

Question 11

Diuretic that is rapid and short lived

Answer 11

Loop

Question 12

High ceiling duiritc is ______
Used in acute cases _____

Answer 12

Loop

Question 13

All are true about loop except
A Patients with severe ht
B Hypertension with hypovolemia
C Malignant hypertension
D Cause hypocalcemia and hypokalemia

Answer 13

B

Question 14

Weak anti hypertensive diuretic is ____
Cause Hyperkalemia
And used with digitalis is ______

Answer 14

K sparing

Question 15

Following are b blockers used in mild to moderate ht as 1st line agents except
A Propranolol
B celiprolol
C atenolol
D metoprolol

Answer 15

B

Question 16

Most efficacious in low renin or volume expand hypertension is ______
Most efficacious in high renin ht is _____

Answer 16

Thiazide
B blockers

Question 17

Used in ht patients with MI, heart failure cop disease, reduce mortality
B blocker
A blocker
Ganglion blocker
Diuretics

Answer 17

Bb

Question 18

These beta blockers have vasodilating effect, alpha blocker effect which is effective in regressing or delaying organ damage except
A carvedilol
B celiprolol
D betaxolol
E nebivolol

Answer 18

D

Question 19

B blockers with intrinsic sympathomimetic activity except
A pindolol
B penbutolol
C acebutolol
D nadolol

Answer 19

D

Question 20

Following is true about intrinsic sympathomimetic drugs
A decrease BP with less deppresant effect of co or hr
B cause less bradycardia
C has withdrawal symptoms
D useful in patients with tachyarrhythmias, chf , vascular diseases
E both a and b

Answer 20

E

Question 21

All are side effects of b blockers except
A bradycardia
B bronchospasm
C Glucose tolerance
D withdrawal effects that cause increase bp

Answer 21

C

Question 22

Management of intraoperative and postoperative hypertension and ht emergencies
A Atenolol
B betaxolol
C esmolol
D metoprolol

Answer 22

C

Question 23

What do give to patients with ht and gout, bronchial disease, diabetes , hyperlipidemia
A doxazosin
B Prazosin
C atenolol
D trimazosin

Answer 23

B

Question 24

Alpha 1 blockers can be used in the following diseases except
A pheochromocytoma
B CHF ( to reduce preload
C BPH
D gout

Answer 24

B afterload

Question 25

drugs may cause orthodontic/ postural hypotension except A a1 blockers B methyldopa C guanethidine D minoxidil E trimethaphan

Answer 25

D

Question 26

Block a and b except A clonidine B labetalol C carvedilol D nebivolol

Answer 26

A

Question 27

Useful for treatment of hypertension pheochromocytoma with no reflex tachycardia A celiprolol B labetalol C prazocin D terazosin

Answer 27

B

Question 28

Following drug has antioxidant effect, decrease endothelial damage and levels of highly atherogenic oxidized ldl cholesterol A Nebivolol B carvedilol C clonidine D methyldopa

Answer 28

B

Question 29

Has its primary use In treatment of chronic heart failure A nebivolol B carvedilol C labetalol D carteolol

Answer 29

B

Question 30

Drug used in renin dependent hypertension A methyldopa B carvedilol C labetalol D clonidine

Answer 30

D

Question 31

Hypertension in pregnant women is treated by A clonidine B methyldopa C amphetamine D methozamine

Answer 31

B

Question 32

All the following are SE of methyldopa except A sedation , dry mouth , postural hypertension B negative Coombs test, hemolytic anemia , hepatitis C bradycardia D Parkinsonian signs E hyperprolactinemia

Answer 32

B

Question 33

Which is true about guanethedine A doesn’t cause sympathoplegia B reserved for severe/ resistant hypertension C doesn’t cause postural hypotension D blocked by NA reuptake blockers ( cocaine) E B and D are correct

Answer 33

E

Question 34

Effects of reserpine on cns include all except A sedation B Parkinsonism like symptoms C mental depression ( suicidal ) D all of the above

Answer 34

D