HTN

Question 1

HTN in pregnancy

Answer 1

1st- Labetalol
2nd- MR Nifedipine
3rd - Methyldopa

Question 2

Pre-eclampsia

Answer 2

Aspirin 75-150mg daily given from week 12 till birth for those at risk of pre-eclampsia

Question 3

Which ACE inhibitor should be taken 30 mins before food

Answer 3

Perindopril

Question 4

What electrolyte disturbance can ACE and ARB cause

Answer 4

HYPERKALEMIA

Question 5

ACE inhibitor monitoring requirements

Answer 5

Renal and electrolyte before and during treatment

Question 6

Which CCB cannot be used with a beta blocker

Answer 6

Verapamil (a non-dihydropyridine calcium channel blocker) shouldn’t be used with a beta blocker because both drugs can slow down the heart, and when combined, they can significantly increase the risk of:
💔 Bradycardia
An abnormally slow heart rate — the combined effect can reduce heart rate too much.
⚠️ Heart block
Particularly AV block — both drugs depress AV node conduction, which can lead to serious conduction abnormalities.
🩸 Hypotension
Additive effects on lowering blood pressure may cause significant hypotension.