HTN

Question 1

Normal BP

Answer 1

<120/<80

Question 2

prehypertension

Answer 2

120-139/80-89

Question 3

Stage I

Answer 3

140-159/90-99

Question 4

Stage II

Answer 4

> 160/ >100

Question 5

JNC 8 Goal BP for diabetics/renal failure patients <60 years old

Answer 5

<140/90

Question 6

JNC 8 Goal BP for diabetics/renal failure patients >60 years old

Answer 6

<150/90

Question 7

ADA goal for diabetics/renal failure patients

Answer 7

<130/80

Question 8

Serum potassium is done for essential hypertension to r/o what?

Answer 8

primary aldosteronism, cushings

Question 9

serum calcium is done for essential hypertension to r/o what?

Answer 9

parathyroid disease

Question 10

DASH diet requires how much sodium intake

Answer 10

2.4 g

Question 11

when do you start with 2 BP meds?

Answer 11

if SBP >20mmHg above or DBP >10 above

Question 12

How often do you monitor the patient until their BP is stable?

Answer 12

every 2-3 weeks then 3-6 months once stable

Question 13

when do you refer to cardiology or nephrology?

Answer 13

when goal is not reached with 3 agents

Question 14

K sparing diuretics + ACE/ARB can cause what?

Answer 14

hyperkalemia and/or renal failure

Question 15

which drugs are bad for pregnancy

Answer 15

ACE/ARB

Question 16

How often should you measure serum potassium and creatinine?

Answer 16

at least 1-2 times a year

Question 17

How do you combat the edema caused by CCB?

Answer 17

add venodilator such as ACE, ARB or nitrates

Question 18

with prehypertension we implement lifestyle changes and recheck BP in 1 year, what do we do for stage 1?

Answer 18

we implement lifestyle changes and recheck in 2 months

Question 19

BB are best with which conditions?

Answer 19

heart failure and CAD