Day 5 - CV3 Quiz Flashcards

1
Q

HTN, depression, kidney stones

A

Hyperparathyroidism (cause of secondary HTN)

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2
Q

Complications from vasopressors

A

(1) ischemic/necrosis of toes (2) mesenteric ischemic (3) renal failure

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3
Q

Intervention most effective in reducing bp

A

Weight loss (even better than smoking)

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4
Q

Preferred antihypertensive in pt w/ no comorbities

A

Thiazides (chlorthalidone, HCTZ)

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5
Q

Antihypertensives of choice in following situations: (1) No comorbidities (2) DM (3) Heart Failure (4) BPH (5) LVH (6) Hyperthyroidism (7) Osteoporosis (8) Essential tremor (9) Post-menopausal women (10) Migraine

A

(1) Thiazides (2) ACE inhibitors (3) ACE inhibitors/ARBs, Beta blockers, Aldosterone antagonists (4) Alpha blocker (5) ACEi/ARB (6) Non-selective beta blocker (e.g., propanolol) (7) Thiazide (8) Beta blocker (9) Thiazide (10) Beta blocker

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6
Q

Secondary HTN Ddx: (1) HTN in arms, low bp in lower extremities (2) Proteinuria (3) Hypokalemia (4) Tachycardia, diarrhea, heat intolerance (5) Hyperkalemia (6) Episodic sweating, tachycardia

A

(1) Aortic coarctation (2) CKD (3) Hyperaldosteronism (4) Hyperthyroidism (5) Renal failure, renal artery stenosis (6) Pheochromocytoma

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7
Q

Side effects of antihypertensives: first-dose orthostatic hypotension

A

Alpha blockers (-zosin)

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8
Q

Side effects of antihypertensives: dry mouth, sedation, severe rebound HTN

A

Clonidine (q 8 h drug)

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9
Q

Side effects of antihypertensives: hypertrichosis

A

Minoxidil

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10
Q

Side effects of antihypertensives: bradycardia, impotence, asthma exacerbation

A

Beta blockers

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11
Q

Side effects of antihypertensives: reflexive tachycardia

A

Vasodilators

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12
Q

Side effects of antihypertensives: cough

A

ACEi

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13
Q

Side effects of antihypertensives: avoid in pts w/ sulfa allergy

A

Thiazides, Loop diuretics

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14
Q

Side effects of antihypertensives: angioedema,

A

ACEi

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15
Q

Side effects of antihypertensives: drug-induced lupus

A

Hydralazine (anti-Histone antibodies); Think: both start w/ H

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16
Q

Side effects of antihypertensives: cyanide toxicity

A

Nitroprusside

17
Q

Vasodilation effects: Nitroglycerine & dihyproperidine CCBs

A

Venous

18
Q

Vasodilation effects: Hydralazine

A

Arteriolar

19
Q

Vasodilation effects: Nitroprusside

A

Both venous & arteriolar

20
Q

HACEK

A

Culture-negative endocarditis: Haeomphilus, Actinobacteria, Cardiobacterium, Eikenella, Kingella

21
Q

JONES criteria

A

Dx Rheumatic fever; Joints; Pancarditis, Nodules, Erythema nodosum, Sydenham’s chorea