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Finals_Ther 202 > E01_12 Hypertension > Flashcards

E01_12 Hypertension Flashcards

1
Q

2018_Hypertension

Used to treat isolated systolic hypertension in the elderly

A. Ramipril
B. Amlodipine
C. Metoprolol
D. Hydrochlorothiazide

A

B. Amlodipine

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2
Q

2018_Hypertension

Calcium antagonist for treatment of tacharrhythmia

A. Verapamil
B. Nifedipine
C. Amlodipine
D. Diltiazem

A

A. Verapamil

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3
Q

2017_Hypertension

Based on the recommendations below, which of the following is recommended for elderly patients?

A. Metoprolol
B. Amlodipine
C. Doxazosin
D. None of the above

A

B. Amlodipine

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4
Q

2017_Hypertension

Which of the following is not a RAS blocker?

B. Metoprolol
D. Amlodipine

A

D. Amlodipine

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5
Q

2017_Hypertension

What is the drug of choice for hypertensive patients with chronic kidney disease

A

A. ACE Inhibitors

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6
Q

2017_Hypertension

A 50 yo male has been hypertensive for 2 years but has been noncompliant with the meds. He experiences compressive retrosternal discomfort (angina) for the past 3 months. Readings of bp 140-145/80-90. What is the antihypertensive drug of choice?

A

A. Beta-blocker

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7
Q

2017_Hypertension

40yo female came to clinic for elevated bp. She is not a known hypertensive or diabetic. There is a strong family history of hypertension and chronic kidney disease. She experiences headaches but no other symptoms. BP in the clinic is 150/90, HR73. Labs are essentially normal. What is the appropriate management for this patient?

A

C. Monitor bp prior to starting medications

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8
Q

2017_Hypertension

A patient diagnosed to have essential hypertension receiving enalapril, hydrochlorothiazide, amlodipine and clonidine was noted to be coughing without signs of heart failure, infection or asthma. Which drug may be responsible for the symptom?

A

A. Enalapril

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9
Q

2017_Hypertension

Which of the ff should not be given to pregnant hypertensive patients:

A. Enalapril
B. Methyldopa
C. Hydralazine
D. Nifedipine

A

A. Enalapril

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10
Q

2016, 2017 Hypertension

Miss RA is a 68 yo hypertensive who came to the clinic for the 1st time. Her bp was 150/70. When you checked her labs, her electrolytes sodium and potassium were on the low side. Which of the ff antihypertensives could have caused this:

A. Thiazide diuretics
B. CCB
C. Beta blocker
D. ACEi
E. ARBs
A

A. Thiazide diuretics

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11
Q

2016, 2017_Hypertension

E.M. 45 yo male was seen in your clinic for elevated BP. Home BP readings 120-130/80, was started on 3 different meds by primary physician however he started experiencing pain and tenderness on the nipples. What medication could cause this?

A

D. Spironolactone

Pt has gynecomastia caused by spironolactone (side effect)

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12
Q

2017_Hypertension

The use of beta blockers on a pregnant patient may cause which adverse reaction:

A

A. Fetal bradycardia

Other effect of beta blocker on pregnancy: Uteroplacental insufficiency causing intrauterine growth retardation.

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13
Q

2017_Hypertension

Which of the following is the drug of choice in gestational hypertension
A. Nifedipine
C. Methyldopa
D. Hydralazine

A

A. Nifedipine or C. Methyldopa

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14
Q

2017_Hypertension

ACE Inhibitors and ARBs are contraindicated for chronic hypertension in the setting of pregnancy because:

A. Oligohydramnios
B. Growth retardation
C. Neonatal anuric renal failure and renal agenesis
D. All of the above

A

D. All of the above

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15
Q

2017_Hypertension

Results show protein dipstick shows +2 for a patient with platelet count 130,000, normal liver enzymes and normal chest x-ray. How would you manage this patient assuming it is also a case of pregnancy?

A. Maintain her bp >150 systolic
B. Start her on methyldopa
C. Complete bedrest

A

B. Start her on methyldopa

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16
Q

2017_Hypertension

Which drug is not used for urgent control of severe hypertension in pregnancy?

A

A. Fenoldopam

17
Q

2016_Hypertension

Based on the latest (ESC/ESH 2013) HTN guidelines what should be the office blood pressure to diagnose a patient with HTN?

A. >= 130/90
B. >= 140/80
C. >= 140/90
D. >= 150/80
E. >= 135/85
A

C. >= 140/90

Stage 1 - 140-159 OR 90-99
Stage 2 - >= 160 OR >= 100

18
Q

2016_Hypertension

Which of the following does not cause essential hypertension?

A. Hyperkalemia
B. Elevated heart rate
C. Increase Salt intake
D. Increase in sympathetic tone

A

A. Hyperkalemia

19
Q

2016_Hypertension

The following are considered risk factors for hypertension except:

A. Family history of hypertension
B. Sedentary lifestyle
C. Smoking
D. Low salt diet
E. Presence of co-morbidities
A

D. Low Salt Diet

20
Q

2016_Hypertension

Patient with hypertension (143/88) and 4-year history of T2DM. What is the ideal hypertensive drug?

A. ACEi
B. CCB
C. Beta blockers
D. Thiazide
E. K-sparing diuretic
A

A. ACEi

ESC: blockers of the renin-angiotensin system preferred

21
Q

2016_Hypertension

Treatment of choice for hypertension with OSA

A. Beta blockers
B. Uvuloplasty
C. CPAP
D. ACEi + CCB
E. CCB
A

C. CPAP

22
Q

2016_Hypertension

Drug of choice for patients with primary aldosteronism

A

Spironolactone

23
Q

2016_Hypertension

Hypertensive female, BP 147/88, HR = 98, with toxic goiter (currently taking PTU). What class of anti-HTN is ideal?

A. Amlodipine
B. Propranolol
C. Lisinoprol
D. Olmesart
E. HTZ
A

B. Propranolol

24
Q

2016_Hypertension

Drug of choice for patients with pheochromocytoma

A. Beta blocker
B. Alpha blocker
C. CCB
D. Diuretic
E. ACEi
A

B. Alpha blocker

25
Q

2013_Hypertension

Beta-adrenergic blockers effectively decrease the effects of catecholamines at the receptor level. Which of the following is classified as a B-1 selective beta blocker?

A. Carvedilol
B. Carteolol
C. Metoprolol
D. Propranolol

A

B. Metoprolol

T/N: Beta-blockers are not anymore part of the JNC8 (Thiazides, CCB, ARBs, ACEi as initial treatment)

26
Q

2013_Hypertension

Drug of choice for patients with LVH or nephropathy?

A. ACEi
B. Alpha blockers
C. Beta blockers
D. Non DHP CCBs

A

A. ACEi

ESC:
> for LVH - ACEi, ARBs, CCB
> for nephropathy - ACEi, ARBs

*Non-DHPs (Verapamil and Diltiazem) > generally for arrhythmia

27
Q

2013_Hypertension

Which of the following antihypertensives can inhibit the RAAS, decrease the risk of HF, and is recommended for T2DM?

A. Metoprolol
B. Enalapril
C. Nifedipine
D. Clonidine

A

B. Enalapril

28
Q

2013_Hypertension

Which of the following is considered a common side effect of CCBs?

A. Diarrhea
B. Pruritus
C. Ankle Edema
D. Myalgia

A

C. Ankle Edema

Finals_Ther 202 (21 decks)

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