HTN

Question 1

Uncomplicated HTN (no comorbidities)

Answer 1

Thiazide(prefered indapamide or chlorthalidone over HCTZ) Ace Arbs BB CCBs
Avoid:
-ace in african americans or pregnant,
-BB in pt under 60

Question 2

ISH (SBP>= 140 DBP< 90)

Answer 2

TH ARB CCB(dihydropyridine)

Question 3

HTN + DM (no albuminuria, CKD,CVD, OR CV risk factors)

Answer 3

Th Ace Arb CCB (dihydropyridine first line add on acei)

Question 4

HTN +DM+ albuminuria (ACR>2mg/mmol) CKD,CVD, risk factor for CVD

Answer 4

ACE ARBS (dihydropyridine second line add on acei) consider loop in hypervolemia

Question 5

HTN+ CAD

Answer 5

ACE ARB BB CCB (DHP best may consider other classes add on to acei)

Question 6

HTN + Recent MI

Answer 6

ACE ARB BB (ccb consider both classes avoid non-DHP in HF and caution in combo of BB)

Question 7

HTN + HF

Answer 7

ACE ARB BB

Question 8

LV hypertrophy

Answer 8

TH ACE ARB CCB

Question 9

History of TIA

Answer 9

TH ACE

Question 10

CKD + Albuminuia (no DM)

Answer 10

ACE ARB

Question 11

Pediatrics

Answer 11

ACE ARB BB CCB (BB less preferred)

Question 12

PREGNANCY AND LACTATION (all females of child bearing age should have a pregnancy test done and drug therapy should be discussed prior to conception)

Answer 12

Methyldopa, LA nifiedipine, or Labetalol (or other BB except atenolol)