Guidelines

Question 1

BP if chronic disease (diabetes, renal insuff),

age <60

Answer 1

<140/90

Question 2

BP if diabetic >80

Answer 2

<150/90

Question 3

BP if <60 (no comorbidities)

Answer 3

140/90

Question 4

BP if >60 (no comorbidities)

Answer 4

150/90

Question 5

Step 1 asthma tx

Answer 5

low dose ICS/formoterol

children under 11: low dose ICS & SABA

Question 6

Step 2 asthma tx

Answer 6

low dose ICS + SABA

or

low dose ICS/formoterol

(kids: low dose ICS + SABA prn)

Question 7

Step 3 asthma tx

Answer 7

low dose ICS/LABA

w/ SABA prn

(kids: medium dose ICS or low dose ICS/LABA) SABA prn

Question 8

Step 4 asthma tx

Answer 8

low dose ICS/formoterol

or

medium dose ICS/LABA w/ SABA prn

(referral for kids)

Question 9

Step 5 asthma

Answer 9

allergist eval

consider:
-high dose ICS/LABA
-tiotropium
-azithro
-anti IgE
etc

Question 10

initial lab eval for HTN (JNC7)

Answer 10

ECG
blood glucose
fasting cholesterol panel
GFR
Hematocrit
Serum calcium
Serum potassium
Urinalysis

Question 11

first line anti-HTN if CAD

Answer 11

beta-blocker w/ ARB/ACEi

Question 12

first line anti-HTN if CKD

Answer 12

ARB or ACEi

Question 13

first line anti-HTN if DM

Answer 13

ARB or ACEi

CCB or thiazide if Black

Question 14

first line anti-HTN if HF

Answer 14

ARB/ACEi + beta blocker + spironolactone

Question 15

first line anti-HTN if hx of stroke

Answer 15

ARB/ACEi

Question 16

proper measurement of BP

Answer 16

• appropriate cuff size
• seated w/ feet on ground, back support
• no talking